Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.09 / $1,131.29 / $1,237.01	Professional		$1,019.09	$1,131.29	$1,237.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,245.46 / $1,278.79 / $1,580.00	Professional		$1,245.46	$1,278.79	$1,580.00
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 $1,038.42 / $1,497.76 / $2,649.72	Professional		$1,038.42	$1,497.76	$2,649.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.50 / $1,465.29 / $1,909.06	Professional		$1,133.50	$1,465.29	$1,909.06
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 $893.50 / $1,265.17 / $2,293.69	Professional		$893.50	$1,265.17	$2,293.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,111.61 / $1,306.26 / $1,617.15	Professional		$1,111.61	$1,306.26	$1,617.15