Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,986.17 / $5,929.62 / $9,668.25	Professional		$4,986.17	$5,929.62	$9,668.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,484.00 / $6,484.00 / $8,266.36	Professional		$6,484.00	$6,484.00	$8,266.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $8,121.18	Facility		$8,121.18	$8,121.18	$8,121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $5,928.46	Professional		$5,928.46	$5,928.46	$5,928.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,464.75 / $12,092.50 / $17,413.20	Professional		$8,464.75	$12,092.50	$17,413.20
United Facility/Professional Professional Modifier Low / Median / High Price $5,447.10 / $6,153.47 / $9,566.40	Professional		$5,447.10	$6,153.47	$9,566.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,242.85 / $7,242.85 / $8,464.75	Professional		$7,242.85	$7,242.85	$8,464.75