Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,456.54	Professional		$4,786.30	$4,786.30	$6,456.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,025.60	Professional		$4,786.30	$4,786.30	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $6,309.57	Professional		$4,073.80	$4,786.30	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $5,754.40	Professional		$4,677.35	$4,786.30	$5,754.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35