Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.54 / $1,587.44 / $4,082.71	Professional		$1,293.54	$1,587.44	$4,082.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,591.67 / $1,768.53 / $2,246.03	Professional		$1,591.67	$1,768.53	$2,246.03
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 $1,158.58 / $1,872.56 / $3,453.21	Professional		$1,158.58	$1,872.56	$3,453.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,603.84 / $2,081.71 / $2,701.20	Professional		$1,603.84	$2,081.71	$2,701.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $2,156.00 / $3,522.00	Facility		$1,003.00	$2,156.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.31 / $1,492.90 / $2,948.48	Professional		$878.31	$1,492.90	$2,948.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,192.00 / $1,855.79 / $2,278.35	Professional		$1,192.00	$1,855.79	$2,278.35