Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,562.92 / $3,142.30 / $5,616.43	Professional		$2,562.92	$3,142.30	$5,616.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,277.00 / $3,277.00 / $4,177.60	Professional		$3,277.00	$3,277.00	$4,177.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $4,728.96	Facility		$4,728.96	$4,728.96	$4,728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $3,452.14 / $4,728.96	Professional		$3,452.14	$3,452.14	$4,728.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,277.87 / $6,111.24 / $8,800.19	Professional		$4,277.87	$6,111.24	$8,800.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,858.35 / $3,069.37 / $4,834.60	Professional		$2,858.35	$3,069.37	$4,834.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,697.96 / $3,697.96 / $4,277.87	Professional		$3,697.96	$3,697.96	$4,277.87