Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $7,079.46	Professional		$3,630.78	$4,570.88	$7,079.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,025.60	Professional		$4,786.30	$4,786.30	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,786.30	Professional		$4,073.80	$4,073.80	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,709.64 / $13,182.57	Professional		$6,165.95	$8,709.64	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,754.40 / $5,888.44	Facility		$5,011.87	$5,754.40	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $6,760.83	Professional		$3,890.45	$4,466.84	$6,760.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $6,165.95	Professional		$4,570.88	$5,248.07	$6,165.95