Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.21 / $1,544.66 / $1,704.37	Professional		$1,269.21	$1,544.66	$1,704.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,562.02 / $1,735.58 / $2,199.42	Professional		$1,562.02	$1,735.58	$2,199.42
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 $1,068.13 / $1,837.00 / $3,387.03	Professional		$1,068.13	$1,837.00	$3,387.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,564.72 / $2,042.19 / $2,650.54	Professional		$1,564.72	$2,042.19	$2,650.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.41 / $1,648.25 / $3,248.10	Professional		$806.41	$1,648.25	$3,248.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,214.46 / $1,820.55 / $2,235.32	Professional		$1,214.46	$1,820.55	$2,235.32