Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $3,715.35	Professional		$1,174.90	$1,412.54	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $1,949.84	Professional		$1,348.96	$1,548.82	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $3,311.31	Facility		$512.86	$512.86	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,162.28	Professional		$1,288.25	$1,737.80	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $2,511.89	Professional		$1,380.38	$1,548.82	$2,511.89
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 $1,122.02 / $1,548.82 / $2,818.38	Professional		$1,122.02	$1,548.82	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,137.96	Professional		$1,288.25	$1,621.81	$2,137.96