Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $4,073.80	Professional		$1,258.93	$1,548.82	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $2,041.74	Professional		$1,584.89	$1,737.80	$2,041.74
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 $1,348.96 / $1,862.09 / $3,388.44	Professional		$1,348.96	$1,862.09	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $2,691.53	Professional		$1,412.54	$1,548.82	$2,691.53
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 $1,202.26 / $1,737.80 / $3,090.30	Professional		$1,202.26	$1,737.80	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,137.96	Professional		$1,380.38	$1,698.24	$2,137.96