Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.33 / $1,260.48 / $1,367.22	Professional		$1,087.33	$1,260.48	$1,367.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,301.09 / $1,393.73 / $1,533.10	Professional		$1,301.09	$1,393.73	$1,533.10
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 $1,153.60 / $1,626.71 / $2,784.13	Professional		$1,153.60	$1,626.71	$2,784.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,281.66 / $1,660.26 / $2,158.59	Professional		$1,281.66	$1,660.26	$2,158.59
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 $962.89 / $1,317.45 / $2,545.96	Professional		$962.89	$1,317.45	$2,545.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,173.17 / $1,480.07 / $1,817.31	Professional		$1,173.17	$1,480.07	$1,817.31