Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.17 / $1,410.63 / $2,356.48	Professional		$1,160.17	$1,410.63	$2,356.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,496.00 / $1,496.00 / $1,564.04	Professional		$1,496.00	$1,496.00	$1,564.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $2,125.02	Facility		$2,125.02	$2,125.02	$2,125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,551.26 / $2,125.02	Professional		$1,551.26	$1,551.26	$2,125.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,953.64 / $2,790.91 / $4,018.91	Professional		$1,953.64	$2,790.91	$4,018.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.35 / $1,392.35 / $2,207.89	Professional		$1,305.35	$1,392.35	$2,207.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,685.25 / $1,685.25 / $1,953.64	Professional		$1,685.25	$1,685.25	$1,953.64