Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.03 / $1,536.09 / $1,556.85	Professional		$1,370.03	$1,536.09	$1,556.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,494.58 / $1,660.64 / $2,258.46	Professional		$1,494.58	$1,660.64	$2,258.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.17 / $1,100.17 / $1,100.17	Facility		$1,100.17	$1,100.17	$1,100.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,385.08 / $2,385.08 / $2,981.34	Professional		$2,385.08	$2,385.08	$2,981.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,075.80 / $2,594.75 / $3,113.70	Professional		$2,075.80	$2,594.75	$3,113.70
United Facility/Professional Facility Modifier Low / Median / High Price $871.84 / $871.84 / $871.84	Facility		$871.84	$871.84	$871.84
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $986.01 / $1,888.94	Professional		$871.84	$986.01	$1,888.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.34 / $15.43	Professional		$12.04	$12.34	$15.43