Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $1,567.67 / $3,911.00	Professional		$1,328.43	$1,567.67	$3,911.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,793.16 / $1,793.16 / $2,277.31	Professional		$1,793.16	$1,793.16	$2,277.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.54 / $1,953.00 / $3,537.42	Professional		$1,404.54	$1,953.00	$3,537.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,596.07 / $2,058.92 / $2,700.83	Professional		$1,596.07	$2,058.92	$2,700.83
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.31 / $1,645.90 / $2,963.19	Professional		$1,183.31	$1,645.90	$2,963.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,459.33 / $1,835.48 / $2,284.53	Professional		$1,459.33	$1,835.48	$2,284.53