Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.36 / $1,591.27 / $1,747.20	Professional		$1,383.36	$1,591.27	$1,747.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,675.05 / $1,675.05 / $2,144.06	Professional		$1,675.05	$1,675.05	$2,144.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $8,500.02	Facility		$507.00	$641.21	$8,500.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.77 / $2,141.50 / $3,887.05	Professional		$1,464.77	$2,141.50	$3,887.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,605.89 / $2,082.71 / $3,169.57	Professional		$1,605.89	$2,082.71	$3,169.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,463.86 / $2,169.00 / $25,733.64	Facility		$1,463.86	$2,169.00	$25,733.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.08 / $1,829.83 / $3,218.24	Professional		$1,304.08	$1,829.83	$3,218.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,614.51 / $1,856.69 / $2,283.19	Professional		$1,614.51	$1,856.69	$2,283.19