Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.63 / $1,656.90 / $2,039.67	Professional		$1,318.63	$1,656.90	$2,039.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,422.74 / $1,642.67 / $2,250.46	Professional		$1,422.74	$1,642.67	$2,250.46
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 $1,255.29 / $1,755.05 / $3,286.46	Professional		$1,255.29	$1,755.05	$3,286.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,448.93 / $1,793.44 / $2,496.04	Professional		$1,448.93	$1,793.44	$2,496.04
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 $1,239.88 / $1,668.30 / $3,056.81	Professional		$1,239.88	$1,668.30	$3,056.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,106.06 / $1,793.44 / $2,185.44	Professional		$1,106.06	$1,793.44	$2,185.44