Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.75 / $1,212.24 / $1,311.67	Professional		$1,039.75	$1,212.24	$1,311.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,270.47 / $1,270.47 / $1,420.00	Professional		$1,270.47	$1,270.47	$1,420.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $4,201.17	Facility		$627.00	$641.21	$4,201.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.38 / $1,629.77 / $2,663.78	Professional		$1,120.38	$1,629.77	$2,663.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.72 / $1,588.70 / $2,179.65	Professional		$1,226.72	$1,588.70	$2,179.65
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 $959.70 / $1,366.14 / $2,434.14	Professional		$959.70	$1,366.14	$2,434.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,191.43 / $1,416.28 / $1,738.95	Professional		$1,191.43	$1,416.28	$1,738.95