Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.29 / $1,482.88 / $4,263.82	Professional		$1,199.29	$1,482.88	$4,263.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,280.95 / $1,301.60 / $1,487.74	Professional		$1,280.95	$1,301.60	$1,487.74
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 $1,217.44 / $1,771.84 / $3,660.34	Professional		$1,217.44	$1,771.84	$3,660.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,536.62 / $1,982.24 / $3,368.23	Professional		$1,536.62	$1,982.24	$3,368.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.50 / $1,737.59 / $2,955.61	Professional		$1,288.50	$1,737.59	$2,955.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $985.86 / $1,767.11 / $2,185.17	Professional		$985.86	$1,767.11	$2,185.17