Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,890.45	Professional		$2,630.27	$2,951.21	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,715.35	Facility		$3,630.78	$3,630.78	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,090.30 / $3,630.78	Professional		$436.52	$3,090.30	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $501.19 / $2,754.23	Facility		$181.97	$501.19	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,890.45	Professional		$1,819.70	$2,344.23	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $5,011.87	Professional		$4,168.69	$5,011.87	$5,011.87