Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $4,265.80	Professional		$1,412.54	$1,621.81	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,238.72	Professional		$1,621.81	$1,819.70	$2,238.72
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 $1,479.11 / $1,995.26 / $3,630.78	Professional		$1,479.11	$1,995.26	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,818.38	Professional		$1,513.56	$1,659.59	$2,818.38
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 $1,288.25 / $1,819.70 / $3,311.31	Professional		$1,288.25	$1,819.70	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,290.87	Professional		$1,548.82	$1,778.28	$2,290.87