Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.71 / $1,879.44 / $3,064.42	Professional		$1,644.71	$1,879.44	$3,064.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,304.88 / $2,304.88 / $2,304.88	Professional		$2,304.88	$2,304.88	$2,304.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $2,540.30	Professional		$1,854.42	$1,854.42	$2,540.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,682.96 / $3,832.80 / $5,519.23	Professional		$2,682.96	$3,832.80	$5,519.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,726.50 / $1,952.14 / $3,032.14	Professional		$1,726.50	$1,952.14	$3,032.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,122.75 / $2,122.75 / $2,682.96	Professional		$2,122.75	$2,122.75	$2,682.96