Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $3,548.13	Professional		$1,621.81	$1,995.26	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $2,818.38	Professional		$1,778.28	$1,949.84	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $3,090.30	Facility		$575.44	$602.56	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,630.78	Professional		$1,479.11	$2,089.30	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,691.53	Professional		$1,479.11	$1,949.84	$2,691.53
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 $1,445.44 / $2,041.74 / $3,630.78	Professional		$1,445.44	$2,041.74	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $2,511.89	Professional		$1,445.44	$2,187.76	$2,511.89