Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $29,512.09	Facility		$4,897.79	$4,897.79	$29,512.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,011.87 / $6,760.83	Professional		$4,897.79	$5,011.87	$6,760.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $6,309.57	Professional		$4,897.79	$4,897.79	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,897.79 / $5,128.61	Professional		$1,412.54	$4,897.79	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,897.79	Facility		$1,348.96	$1,348.96	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $4,897.79 / $5,248.07	Professional		$1,047.13	$4,897.79	$5,248.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29