Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.24 / $1,266.47 / $1,431.28	Professional		$1,132.24	$1,266.47	$1,431.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,362.29 / $1,505.67 / $1,662.62	Professional		$1,362.29	$1,505.67	$1,662.62
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 $1,151.53 / $1,661.09 / $2,910.03	Professional		$1,151.53	$1,661.09	$2,910.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,334.58 / $1,724.60 / $2,247.71	Professional		$1,334.58	$1,724.60	$2,247.71
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 $993.33 / $1,446.73 / $2,652.84	Professional		$993.33	$1,446.73	$2,652.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,166.73 / $1,537.44 / $1,892.60	Professional		$1,166.73	$1,537.44	$1,892.60