Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $4,672.47 / $4,672.47	Facility		$4,672.47	$4,672.47	$4,672.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $6,261.11	Professional		$4,686.85	$4,686.85	$6,261.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,672.47 / $4,672.47 / $4,686.85	Professional		$4,672.47	$4,672.47	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $5,969.11	Professional		$4,686.85	$4,686.85	$5,969.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $6,337.77	Professional		$4,686.85	$4,686.85	$6,337.77
United Facility/Professional Professional Modifier Low / Median / High Price $4,547.03 / $4,686.85 / $4,968.06	Professional		$4,547.03	$4,686.85	$4,968.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,657.58 / $4,657.58 / $4,657.58	Professional		$4,657.58	$4,657.58	$4,657.58