Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,534.40 / $2,816.00 / $3,829.76	Professional		$2,534.40	$2,816.00	$3,829.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.60 / $2,459.67 / $4,555.10	Facility		$1,865.60	$2,459.67	$4,555.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,865.60 / $4,044.92 / $5,056.14	Professional		$1,865.60	$4,044.92	$5,056.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $4,048.00 / $5,280.00	Professional		$3,520.00	$4,048.00	$5,280.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $1,584.00 / $3,203.13	Professional		$1,478.40	$1,584.00	$3,203.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,119.69 / $1,148.40 / $1,435.50	Professional		$1,119.69	$1,148.40	$1,435.50