Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,653.28 / $3,044.55 / $4,968.22	Professional		$2,653.28	$3,044.55	$4,968.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,733.73 / $3,733.73 / $3,733.73	Professional		$3,733.73	$3,733.73	$3,733.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $3,799.01	Facility		$3,799.01	$3,799.01	$3,799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $3,799.01	Professional		$3,229.16	$3,229.16	$3,799.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,346.20 / $6,208.86 / $8,940.76	Professional		$4,346.20	$6,208.86	$8,940.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,796.80 / $3,177.58 / $4,911.84	Professional		$2,796.80	$3,177.58	$4,911.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,464.09 / $3,464.09 / $4,346.20	Professional		$3,464.09	$3,464.09	$4,346.20