Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,548.13	Professional		$1,174.90	$1,445.44	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,659.59	Professional		$1,047.13	$1,380.38	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,235.94	Professional		$1,148.15	$1,659.59	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,290.87	Professional		$1,174.90	$1,380.38	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,570.40	Professional		$1,047.13	$1,513.56	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $1,819.70	Professional		$1,047.13	$1,513.56	$1,819.70