Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.81 / $1,438.85 / $1,564.78	Professional		$1,275.81	$1,438.85	$1,564.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,354.98 / $1,592.61 / $1,730.00	Professional		$1,354.98	$1,592.61	$1,730.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $791.44	Facility		$715.00	$728.96	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.47 / $1,792.48 / $3,278.50	Professional		$1,257.47	$1,792.48	$3,278.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,503.64 / $1,939.70 / $2,536.67	Professional		$1,503.64	$1,939.70	$2,536.67
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.06 / $1,539.38 / $2,818.51	Professional		$1,095.06	$1,539.38	$2,818.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,206.13 / $1,729.19 / $2,123.44	Professional		$1,206.13	$1,729.19	$2,123.44