Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.29 / $1,636.87 / $1,879.88	Professional		$1,443.29	$1,636.87	$1,879.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,849.89 / $2,034.88	Professional		$1,675.00	$1,849.89	$2,034.88
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 $1,485.51 / $2,129.26 / $3,722.42	Professional		$1,485.51	$2,129.26	$3,722.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,624.93 / $2,096.16 / $2,755.79	Professional		$1,624.93	$2,096.16	$2,755.79
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 $1,260.11 / $1,875.56 / $3,329.57	Professional		$1,260.11	$1,875.56	$3,329.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,543.15 / $1,868.67 / $2,324.27	Professional		$1,543.15	$1,868.67	$2,324.27