Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $3,467.37	Professional		$1,122.02	$1,318.26	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,862.09	Professional		$1,348.96	$1,513.56	$1,862.09
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 $1,202.26 / $1,621.81 / $2,884.03	Professional		$1,202.26	$1,621.81	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $2,290.87	Professional		$1,230.27	$1,380.38	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $3,548.13	Facility		$912.01	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,630.27	Professional		$1,047.13	$1,445.44	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,905.46	Professional		$1,230.27	$1,479.11	$1,905.46