Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,951.21	Professional		$1,412.54	$1,698.24	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $2,344.23	Professional		$1,479.11	$1,659.59	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $2,630.27	Facility		$575.44	$602.56	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,090.30	Professional		$1,230.27	$1,778.28	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,290.87	Professional		$1,230.27	$1,621.81	$2,290.87
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 $1,258.93 / $1,737.80 / $3,019.95	Professional		$1,258.93	$1,737.80	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,137.96	Professional		$1,318.26	$1,819.70	$2,137.96