Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $3,235.94	Professional		$1,905.46	$2,691.53	$3,235.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,019.95	Facility		$2,454.71	$2,454.71	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,089.30 / $2,454.71	Professional		$323.59	$2,089.30	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $354.81 / $2,344.23	Facility		$169.82	$354.81	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,548.13	Professional		$1,445.44	$1,995.26	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,265.80 / $4,265.80	Professional		$2,884.03	$4,265.80	$4,265.80