Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $5,248.07	Professional		$1,513.56	$1,778.28	$5,248.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $2,398.83	Professional		$1,778.28	$1,949.84	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,801.89	Professional		$1,621.81	$2,137.96	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $3,019.95	Professional		$1,621.81	$1,778.28	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $3,548.13	Facility		$912.01	$1,318.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,467.37	Professional		$1,380.38	$1,949.84	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $2,454.71	Professional		$1,659.59	$1,905.46	$2,454.71