Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,208.42 / $2,861.12 / $4,720.81	Professional		$2,208.42	$2,861.12	$4,720.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,604.50 / $4,604.50 / $4,604.50	Professional		$4,604.50	$4,604.50	$4,604.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,349.85	Facility		$3,349.85	$3,349.85	$3,349.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.67 / $2,847.37 / $3,349.85	Professional		$356.67	$2,847.37	$3,349.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,258.22 / $4,258.22 / $4,258.22	Professional		$4,258.22	$4,258.22	$4,258.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,741.32 / $2,003.52 / $3,168.96	Professional		$1,741.32	$2,003.52	$3,168.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,715.41 / $4,827.70 / $4,827.70	Professional		$2,715.41	$4,827.70	$4,827.70