Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $3,311.31	Professional		$1,096.48	$1,318.26	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,862.09	Professional		$1,230.27	$1,513.56	$1,862.09
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 $1,174.90 / $1,548.82 / $2,951.21	Professional		$1,174.90	$1,548.82	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $2,089.30	Professional		$1,230.27	$1,348.96	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $3,548.13	Facility		$912.01	$1,148.15	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,511.89	Professional		$1,000.00	$1,380.38	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,862.09	Professional		$1,202.26	$1,479.11	$1,862.09