Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,168.69	Professional		$1,995.26	$2,570.40	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,162.28	Professional		$2,398.83	$2,398.83	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,801.89	Professional		$2,754.23	$2,754.23	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $6,918.31	Professional		$3,162.28	$4,570.88	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,467.37	Facility		$2,691.53	$3,388.44	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,548.13	Professional		$1,995.26	$2,290.87	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,801.89	Professional		$2,691.53	$2,691.53	$3,801.89