Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,454.63 / $1,733.18 / $2,825.94	Professional		$1,454.63	$1,733.18	$2,825.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,895.00 / $1,980.77 / $2,416.17	Professional		$1,895.00	$1,980.77	$2,416.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,425.11	Professional		$1,770.33	$1,770.33	$2,425.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,474.17 / $3,534.53 / $5,089.72	Professional		$2,474.17	$3,534.53	$5,089.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,592.13 / $1,763.34 / $2,796.18	Professional		$1,592.13	$1,763.34	$2,796.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,910.77 / $1,910.77 / $2,474.17	Professional		$1,910.77	$1,910.77	$2,474.17