Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.96 / $1,972.40 / $3,262.35	Professional		$1,549.96	$1,972.40	$3,262.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,984.00 / $1,984.00 / $2,529.60	Professional		$1,984.00	$1,984.00	$2,529.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $2,717.61	Facility		$2,717.61	$2,717.61	$2,717.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $1,983.86 / $2,717.61	Professional		$1,983.86	$1,983.86	$2,717.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,590.32 / $3,700.45 / $5,328.65	Professional		$2,590.32	$3,700.45	$5,328.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,666.88 / $1,909.62 / $2,927.43	Professional		$1,666.88	$1,909.62	$2,927.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,239.17 / $2,239.17 / $2,590.32	Professional		$2,239.17	$2,239.17	$2,590.32