Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $4,365.16	Professional		$1,995.26	$2,454.71	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $3,801.89	Professional		$2,187.76	$2,398.83	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $3,801.89	Facility		$575.44	$602.56	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $4,786.30	Professional		$1,862.09	$2,630.27	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,388.44	Professional		$1,819.70	$2,398.83	$3,388.44
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 $1,819.70 / $2,511.89 / $4,466.84	Professional		$1,819.70	$2,511.89	$4,466.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,090.30	Professional		$1,819.70	$2,691.53	$3,090.30