Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.79 / $2,166.31 / $3,891.16	Professional		$1,807.79	$2,166.31	$3,891.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,014.64 / $2,014.64 / $2,411.17	Professional		$2,014.64	$2,014.64	$2,411.17
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 $1,796.98 / $2,446.14 / $4,867.35	Professional		$1,796.98	$2,446.14	$4,867.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,231.55 / $2,938.13 / $3,758.40	Professional		$2,231.55	$2,938.13	$3,758.40
United Facility/Professional Facility Modifier Low / Median / High Price $774.00 / $1,560.00 / $11,831.32	Facility		$774.00	$1,560.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,499.67 / $2,201.52 / $4,046.29	Professional		$1,499.67	$2,201.52	$4,046.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,682.30 / $2,619.26 / $3,142.53	Professional		$1,682.30	$2,619.26	$3,142.53