Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,823.56 / $2,736.08 / $3,570.00	Professional		$1,823.56	$2,736.08	$3,570.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,138.50 / $4,533.50 / $4,533.50	Professional		$3,138.50	$4,533.50	$4,533.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,436.05	Facility		$2,290.69	$2,290.69	$3,436.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $1,947.10 / $2,290.69	Professional		$1,947.10	$1,947.10	$2,290.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,997.66 / $2,997.66 / $2,997.66	Professional		$2,997.66	$2,997.66	$2,997.66
United Facility/Professional Facility Modifier Low / Median / High Price $170.24 / $316.32 / $2,829.98	Facility		$170.24	$316.32	$2,829.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $1,855.35 / $3,374.18	Professional		$1,385.32	$1,855.35	$3,374.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,079.98 / $4,274.70 / $4,274.70	Professional		$2,079.98	$4,274.70	$4,274.70