Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.38 / $1,289.91 / $1,633.07	Professional		$1,000.38	$1,289.91	$1,633.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,133.24 / $1,173.36 / $1,352.39	Professional		$1,133.24	$1,173.36	$1,352.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $630.01 / $641.21	Facility		$507.00	$630.01	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.59 / $1,739.25 / $3,195.55	Professional		$1,051.59	$1,739.25	$3,195.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,433.05 / $1,848.63 / $2,438.06	Professional		$1,433.05	$1,848.63	$2,438.06
United Facility/Professional Facility Modifier Low / Median / High Price $774.00 / $1,020.93 / $1,560.00	Facility		$774.00	$1,020.93	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.89 / $1,639.80 / $2,687.35	Professional		$1,155.89	$1,639.80	$2,687.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,074.58 / $1,648.01 / $2,050.04	Professional		$1,074.58	$1,648.01	$2,050.04