Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.01 / $1,743.10 / $3,059.85	Professional		$1,364.01	$1,743.10	$3,059.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,756.00 / $1,834.97 / $2,238.33	Professional		$1,756.00	$1,834.97	$2,238.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $2,694.60	Facility		$2,694.60	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $1,967.06	Professional		$1,967.06	$1,967.06	$1,967.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,292.05 / $3,274.36 / $4,715.08	Professional		$2,292.05	$3,274.36	$4,715.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,474.94 / $1,633.54 / $2,590.36	Professional		$1,474.94	$1,633.54	$2,590.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,981.34 / $1,981.34 / $2,292.05	Professional		$1,981.34	$1,981.34	$2,292.05