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 $1,258.93 / $1,412.54 / $2,041.74	Professional		$1,258.93	$1,412.54	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $2,238.72	Facility		$575.44	$602.56	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,818.38	Professional		$1,122.02	$1,621.81	$2,818.38
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 $1,174.90 / $1,584.89 / $2,630.27	Professional		$1,174.90	$1,584.89	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,862.09	Professional		$1,148.15	$1,621.81	$1,862.09