Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.57 / $2,566.42 / $3,112.28	Professional		$2,018.57	$2,566.42	$3,112.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,740.00 / $2,238.63 / $3,066.92	Professional		$1,740.00	$2,238.63	$3,066.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,598.36	Facility		$582.00	$629.00	$2,598.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,860.64 / $2,632.82 / $5,078.68	Professional		$1,860.64	$2,632.82	$5,078.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,143.86 / $2,776.17 / $3,865.85	Professional		$2,143.86	$2,776.17	$3,865.85
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 $1,726.61 / $2,419.38 / $4,381.10	Professional		$1,726.61	$2,419.38	$4,381.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,686.65 / $2,776.17 / $3,385.04	Professional		$1,686.65	$2,776.17	$3,385.04