Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.48 / $1,567.83 / $2,795.00	Professional		$1,259.48	$1,567.83	$2,795.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,577.00 / $1,648.40 / $2,010.74	Professional		$1,577.00	$1,648.40	$2,010.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $1,902.78	Facility		$1,902.78	$1,902.78	$1,902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,389.03 / $1,902.78	Professional		$1,389.03	$1,389.03	$1,902.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,059.00 / $2,941.43 / $4,235.66	Professional		$2,059.00	$2,941.43	$4,235.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,324.97 / $1,547.35 / $2,326.96	Professional		$1,324.97	$1,547.35	$2,326.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,779.88 / $1,779.88 / $2,059.00	Professional		$1,779.88	$1,779.88	$2,059.00