Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,162.28 / $4,265.80	Facility		$812.83	$3,162.28	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,128.61	Professional		$4,265.80	$4,265.80	$5,128.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $6,025.60	Facility		$3,981.07	$3,981.07	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,365.16	Professional		$4,265.80	$4,265.80	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $4,265.80	Professional		$3,388.44	$4,073.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,466.84	Facility		$4,265.80	$4,265.80	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $5,011.87	Professional		$4,265.80	$4,466.84	$5,011.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $5,623.41	Professional		$3,981.07	$3,981.07	$5,623.41