Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $4,897.79	Professional		$1,513.56	$1,819.70	$4,897.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $2,511.89	Professional		$1,071.52	$2,041.74	$2,511.89
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 $1,230.27 / $2,089.30 / $3,981.07	Professional		$1,230.27	$2,089.30	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $3,162.28	Professional		$1,659.59	$1,862.09	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $3,548.13	Facility		$912.01	$1,318.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $3,548.13	Professional		$1,023.29	$1,819.70	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,511.89	Professional		$1,412.54	$1,995.26	$2,511.89