Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,167.39 / $1,730.19	Professional		$1,021.00	$1,167.39	$1,730.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,090.00 / $1,228.08 / $1,350.89	Professional		$1,090.00	$1,228.08	$1,350.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,134.73	Facility		$507.00	$518.54	$1,134.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.08 / $1,515.45 / $2,574.54	Professional		$1,078.08	$1,515.45	$2,574.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,179.75 / $1,538.92 / $1,986.94	Professional		$1,179.75	$1,538.92	$1,986.94
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.85 / $1,341.54 / $2,483.57	Professional		$905.85	$1,341.54	$2,483.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,107.53 / $1,371.90 / $1,678.44	Professional		$1,107.53	$1,371.90	$1,678.44