Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.19 / $1,352.71 / $1,499.45	Professional		$1,133.19	$1,352.71	$1,499.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,323.65 / $1,470.72 / $1,854.45	Professional		$1,323.65	$1,470.72	$1,854.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $4,439.96	Facility		$507.00	$518.54	$4,439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.41 / $1,642.05 / $3,057.22	Professional		$853.41	$1,642.05	$3,057.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.86 / $1,825.85 / $2,371.63	Professional		$1,398.86	$1,825.85	$2,371.63
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 $639.86 / $1,279.15 / $2,581.01	Professional		$639.86	$1,279.15	$2,581.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,627.70 / $1,998.38	Professional		$1,072.81	$1,627.70	$1,998.38