Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $36,317.97	Facility		$2,698.05	$2,698.05	$36,317.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,705.23	Professional		$2,698.05	$2,698.05	$3,705.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,658.13 / $2,658.13 / $2,658.13	Facility		$2,658.13	$2,658.13	$2,658.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,181.67	Professional		$2,698.05	$2,698.05	$3,181.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,293.34 / $2,698.05 / $2,869.62	Professional		$2,293.34	$2,698.05	$2,869.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,003.50 / $3,205.85	Professional		$2,698.05	$3,003.50	$3,205.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,658.13 / $2,658.13 / $3,642.37	Professional		$2,658.13	$2,658.13	$3,642.37