Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,670.36 / $1,892.51 / $3,146.89	Professional		$1,670.36	$1,892.51	$3,146.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,069.00 / $2,069.00 / $2,638.31	Professional		$2,069.00	$2,069.00	$2,638.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,297.39	Facility		$3,297.39	$3,297.39	$3,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $3,297.39	Professional		$2,407.09	$2,407.09	$3,297.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,701.64 / $3,859.48 / $5,557.65	Professional		$2,701.64	$3,859.48	$5,557.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,805.15 / $1,991.68 / $3,053.24	Professional		$1,805.15	$1,991.68	$3,053.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,313.32 / $2,313.32 / $2,701.64	Professional		$2,313.32	$2,313.32	$2,701.64