Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $3,981.07	Professional		$1,698.24	$2,137.96	$3,981.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $3,090.30	Professional		$1,949.84	$2,187.76	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $3,388.44	Facility		$575.44	$602.56	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,890.45	Professional		$1,479.11	$2,187.76	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $3,019.95	Professional		$1,698.24	$2,137.96	$3,019.95
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 $1,479.11 / $2,137.96 / $3,801.89	Professional		$1,479.11	$2,137.96	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $2,884.03	Professional		$1,445.44	$2,454.71	$2,884.03