Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,691.53	Professional		$1,202.26	$1,445.44	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $2,089.30	Professional		$1,318.26	$1,445.44	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $2,290.87	Facility		$575.44	$602.56	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,630.27	Professional		$1,096.48	$1,548.82	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,995.26	Professional		$1,096.48	$1,445.44	$1,995.26
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 $1,071.52 / $1,513.56 / $2,630.27	Professional		$1,071.52	$1,513.56	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $1,862.09	Professional		$1,071.52	$1,621.81	$1,862.09