Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,290.87	Professional		$1,047.13	$1,258.93	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,819.70	Professional		$1,148.15	$1,288.25	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,995.26	Facility		$575.44	$602.56	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,238.72	Professional		$851.14	$1,288.25	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,778.28	Professional		$1,000.00	$1,258.93	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,096.48	Facility		$302.00	$416.87	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,238.72	Professional		$891.25	$1,258.93	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $1,698.24	Professional		$912.01	$1,445.44	$1,698.24