Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,715.35	Professional		$1,698.24	$2,089.30	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $3,162.28	Professional		$1,778.28	$1,995.26	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $3,162.28	Facility		$575.44	$602.56	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,715.35	Professional		$1,513.56	$2,187.76	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,754.23	Professional		$1,479.11	$1,949.84	$2,754.23
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 $1,548.82 / $2,089.30 / $3,715.35	Professional		$1,548.82	$2,089.30	$3,715.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,570.40	Professional		$1,548.82	$2,187.76	$2,570.40