Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.00 / $1,314.19 / $1,684.16	Professional		$1,063.00	$1,314.19	$1,684.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,157.56 / $1,286.18 / $2,034.76	Professional		$1,157.56	$1,286.18	$2,034.76
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 $981.52 / $1,375.92 / $2,563.23	Professional		$981.52	$1,375.92	$2,563.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.25 / $1,392.88 / $1,956.50	Professional		$1,132.25	$1,392.88	$1,956.50
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 $940.17 / $1,271.99 / $2,376.96	Professional		$940.17	$1,271.99	$2,376.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.46 / $1,392.88 / $1,698.38	Professional		$912.46	$1,392.88	$1,698.38