Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $6,165.95	Professional		$2,290.87	$2,754.23	$6,165.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $3,890.45	Professional		$2,570.40	$3,162.28	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $6,165.95	Professional		$2,344.23	$3,235.94	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $4,897.79	Professional		$2,570.40	$2,884.03	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $3,548.13	Facility		$912.01	$1,318.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,623.41	Professional		$2,137.96	$3,019.95	$5,623.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $3,890.45	Professional		$2,398.83	$3,090.30	$3,890.45