Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,754.23	Professional		$1,000.00	$1,202.26	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,621.81	Professional		$1,071.52	$1,318.26	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $1,479.11	Facility		$630.96	$645.65	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,691.53	Professional		$1,071.52	$1,479.11	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $2,137.96	Professional		$1,174.90	$1,318.26	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $2,238.72	Facility		$588.84	$851.14	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,344.23	Professional		$933.25	$1,318.26	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,819.70	Professional		$1,096.48	$1,412.54	$1,819.70