Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.82 / $1,795.19 / $2,371.19	Professional		$1,500.82	$1,795.19	$2,371.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,757.37 / $1,757.37 / $2,407.60	Professional		$1,757.37	$1,757.37	$2,407.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.59 / $1,913.67 / $3,549.66	Professional		$1,378.59	$1,913.67	$3,549.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,573.58 / $2,001.75 / $2,697.92	Professional		$1,573.58	$2,001.75	$2,697.92
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.71 / $1,767.21 / $3,085.32	Professional		$1,307.71	$1,767.21	$3,085.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,283.58 / $1,936.42 / $2,360.37	Professional		$1,283.58	$1,936.42	$2,360.37