Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $4,365.16	Professional		$1,621.81	$1,949.84	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,754.23	Professional		$1,737.80	$1,905.46	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $3,019.95	Facility		$575.44	$602.56	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,630.78	Professional		$1,445.44	$2,089.30	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,630.27	Professional		$1,445.44	$1,862.09	$2,630.27
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 / $1,995.26 / $3,548.13	Professional		$1,445.44	$1,995.26	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,454.71	Professional		$1,548.82	$2,137.96	$2,454.71