Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.80 / $1,699.21 / $4,249.54	Professional		$1,397.80	$1,699.21	$4,249.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,452.94 / $1,605.48 / $1,835.06	Professional		$1,452.94	$1,605.48	$1,835.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.57 / $1,737.19 / $3,729.03	Professional		$1,186.57	$1,737.19	$3,729.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,472.38 / $1,899.37 / $3,303.81	Professional		$1,472.38	$1,899.37	$3,303.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.41 / $1,641.02 / $3,289.24	Professional		$1,070.41	$1,641.02	$3,289.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $931.29 / $1,693.24 / $2,083.58	Professional		$931.29	$1,693.24	$2,083.58