Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,951.21	Professional		$1,047.13	$1,230.27	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,659.59	Professional		$1,230.27	$1,348.96	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $794.33	Facility		$512.86	$512.86	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,691.53	Professional		$1,071.52	$1,513.56	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $2,454.71	Professional		$1,174.90	$1,318.26	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $1,621.81	Facility		$478.63	$616.60	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,511.89	Professional		$933.25	$1,348.96	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,819.70	Professional		$1,071.52	$1,412.54	$1,819.70