Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $5,011.87	Professional		$1,659.59	$1,905.46	$5,011.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,511.89	Professional		$1,862.09	$2,041.74	$2,511.89
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 $1,698.24 / $2,344.23 / $4,073.80	Professional		$1,698.24	$2,344.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $3,162.28	Professional		$1,621.81	$1,819.70	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,884.03	Facility		$776.25	$1,174.90	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,715.35	Professional		$1,513.56	$2,089.30	$3,715.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $2,454.71	Professional		$1,698.24	$1,949.84	$2,454.71