Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $3,715.35	Professional		$1,174.90	$1,412.54	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,995.26	Professional		$1,288.25	$1,621.81	$1,995.26
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 $1,258.93 / $1,737.80 / $3,090.30	Professional		$1,258.93	$1,737.80	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $2,454.71	Professional		$1,318.26	$1,479.11	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $3,548.13	Facility		$912.01	$1,318.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,818.38	Professional		$1,096.48	$1,548.82	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,995.26	Professional		$1,258.93	$1,584.89	$1,995.26