Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,570.40	Professional		$1,230.27	$1,479.11	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,041.74	Professional		$1,288.25	$1,445.44	$2,041.74
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 $1,148.15 / $1,548.82 / $2,691.53	Professional		$1,148.15	$1,548.82	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,041.74	Professional		$1,122.02	$1,479.11	$2,041.74
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 $1,122.02 / $1,513.56 / $2,630.27	Professional		$1,122.02	$1,513.56	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $1,905.46	Professional		$1,071.52	$1,659.59	$1,905.46