Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $4,365.16	Professional		$1,348.96	$1,659.59	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,290.87	Professional		$1,288.25	$1,862.09	$2,290.87
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 $1,412.54 / $1,995.26 / $3,630.78	Professional		$1,412.54	$1,995.26	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,818.38	Professional		$1,513.56	$1,659.59	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,073.80	Facility		$1,513.56	$2,187.76	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,311.31	Professional		$1,288.25	$1,819.70	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,290.87	Professional		$1,513.56	$1,778.28	$2,290.87