Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.27 / $1,701.69 / $1,987.98	Professional		$1,455.27	$1,701.69	$1,987.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,897.25 / $1,897.25 / $2,409.51	Professional		$1,897.25	$1,897.25	$2,409.51
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 $1,515.34 / $2,104.17 / $3,886.25	Professional		$1,515.34	$2,104.17	$3,886.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,752.55 / $2,260.79 / $2,964.77	Professional		$1,752.55	$2,260.79	$2,964.77
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 $1,314.28 / $1,981.71 / $3,526.91	Professional		$1,314.28	$1,981.71	$3,526.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,556.15 / $2,015.43 / $2,508.80	Professional		$1,556.15	$2,015.43	$2,508.80