Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $43.50 / $167.45	Facility		$43.50	$43.50	$167.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,218.89 / $5,119.78 / $7,899.72	Professional		$4,218.89	$5,119.78	$7,899.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,506.28 / $5,532.59 / $6,748.76	Professional		$5,506.28	$5,532.59	$6,748.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $5,687.89	Facility		$5,687.89	$5,687.89	$5,687.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $4,834.71 / $5,687.89	Professional		$4,834.71	$4,834.71	$5,687.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,910.73 / $9,872.46 / $14,216.36	Professional		$6,910.73	$9,872.46	$14,216.36
United Facility/Professional Professional Modifier Low / Median / High Price $4,636.14 / $5,408.83 / $7,810.13	Professional		$4,636.14	$5,408.83	$7,810.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,473.79 / $5,473.79 / $6,910.73	Professional		$5,473.79	$5,473.79	$6,910.73