Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.75 / $1,579.75 / $2,372.52	Professional		$1,219.75	$1,579.75	$2,372.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,589.00 / $1,589.00 / $2,026.04	Professional		$1,589.00	$1,589.00	$2,026.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $1,496.80	Professional		$1,496.80	$1,496.80	$1,496.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,074.66 / $2,963.80 / $4,267.87	Professional		$2,074.66	$2,963.80	$4,267.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,335.05 / $1,552.54 / $2,344.67	Professional		$1,335.05	$1,552.54	$2,344.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,728.17 / $1,728.17 / $2,074.66	Professional		$1,728.17	$1,728.17	$2,074.66