Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.22 / $1,683.11 / $1,864.47	Professional		$1,455.22	$1,683.11	$1,864.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,450.00 / $1,890.86 / $2,079.94	Professional		$1,450.00	$1,890.86	$2,079.94
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 $1,490.11 / $2,183.37 / $3,732.41	Professional		$1,490.11	$2,183.37	$3,732.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,712.63 / $2,224.67 / $2,884.43	Professional		$1,712.63	$2,224.67	$2,884.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $2,169.00 / $4,028.00	Facility		$2,169.00	$2,169.00	$4,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.03 / $1,856.74 / $3,564.20	Professional		$1,329.03	$1,856.74	$3,564.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,546.55 / $1,983.23 / $2,434.90	Professional		$1,546.55	$1,983.23	$2,434.90