Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $3,639.15 / $56,250.32	Facility		$1,861.13	$3,639.15	$56,250.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $2,493.91	Professional		$1,828.72	$1,828.72	$2,493.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,861.14	Professional		$1,828.71	$1,828.71	$1,861.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $2,329.02	Professional		$1,828.71	$1,828.71	$2,329.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $3,453.84	Professional		$1,828.72	$1,828.72	$3,453.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $2,963.95	Professional		$1,828.72	$1,828.72	$2,963.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,779.64 / $1,779.64 / $1,779.64	Professional		$1,779.64	$1,779.64	$1,779.64