Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $3,311.31	Professional		$1,348.96	$1,621.81	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $2,238.72	Professional		$1,412.54	$1,548.82	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $2,511.89	Facility		$575.44	$602.56	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,019.95	Professional		$1,202.26	$1,659.59	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,238.72	Professional		$1,202.26	$1,584.89	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,230.27	Facility		$302.00	$416.87	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,884.03	Professional		$1,148.15	$1,621.81	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,089.30	Professional		$1,202.26	$1,778.28	$2,089.30