Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.36 / $1,549.23 / $2,009.25	Professional		$1,254.36	$1,549.23	$2,009.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,475.00 / $1,508.14 / $2,066.15	Professional		$1,475.00	$1,508.14	$2,066.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.79 / $1,624.72 / $3,015.75	Professional		$1,160.79	$1,624.72	$3,015.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.50 / $1,644.75 / $2,291.25	Professional		$1,336.50	$1,644.75	$2,291.25
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.76 / $1,505.45 / $2,727.85	Professional		$1,113.76	$1,505.45	$2,727.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,079.94 / $1,644.75 / $2,004.75	Professional		$1,079.94	$1,644.75	$2,004.75