Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.83 / $1,697.51 / $1,912.84	Professional		$1,475.83	$1,697.51	$1,912.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,802.84 / $1,960.99 / $2,157.09	Professional		$1,802.84	$1,960.99	$2,157.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,616.93 / $2,272.50 / $3,871.61	Professional		$1,616.93	$2,272.50	$3,871.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,776.19 / $2,308.08 / $2,991.47	Professional		$1,776.19	$2,308.08	$2,991.47
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 $1,350.26 / $1,928.94 / $3,419.97	Professional		$1,350.26	$1,928.94	$3,419.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,652.42 / $2,057.59 / $2,525.88	Professional		$1,652.42	$2,057.59	$2,525.88