Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,429.29 / $5,429.29 / $5,429.29	Facility		$5,429.29	$5,429.29	$5,429.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.05 / $1,886.19 / $3,128.41	Professional		$1,583.05	$1,886.19	$3,128.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,063.00 / $2,063.00 / $2,629.49	Professional		$2,063.00	$2,063.00	$2,629.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $2,160.07	Professional		$1,576.85	$1,576.85	$2,160.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,692.59 / $3,846.56 / $5,539.05	Professional		$2,692.59	$3,846.56	$5,539.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,732.69 / $2,014.96 / $3,043.03	Professional		$1,732.69	$2,014.96	$3,043.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,091.80 / $2,091.80 / $2,692.59	Professional		$2,091.80	$2,091.80	$2,692.59