Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,760.83 / $10,715.19	Professional		$5,495.41	$6,760.83	$10,715.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $8,912.51	Professional		$6,918.31	$6,918.31	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $9,120.11	Professional		$6,606.93	$6,606.93	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $19,498.45	Professional		$9,120.11	$12,882.50	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,120.11 / $9,332.54	Facility		$5,495.41	$9,120.11	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,606.93 / $10,000.00	Professional		$5,754.40	$6,606.93	$10,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $10,964.78	Professional		$7,413.10	$7,413.10	$10,964.78