Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.33 / $1,638.68 / $2,778.32	Professional		$1,294.33	$1,638.68	$2,778.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,666.00 / $1,666.00 / $2,123.98	Professional		$1,666.00	$1,666.00	$2,123.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $2,479.82	Facility		$2,479.82	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $2,479.82	Professional		$1,810.27	$1,810.27	$2,479.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,174.96 / $3,107.08 / $4,474.20	Professional		$2,174.96	$3,107.08	$4,474.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,453.25 / $1,550.09 / $2,458.02	Professional		$1,453.25	$1,550.09	$2,458.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,880.12 / $1,880.12 / $2,174.96	Professional		$1,880.12	$1,880.12	$2,174.96