Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.01 / $1,148.74 / $3,249.23	Professional		$1,041.01	$1,148.74	$3,249.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,107.44 / $1,112.91 / $1,340.00	Professional		$1,107.44	$1,112.91	$1,340.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.03 / $2,659.03 / $2,659.03	Facility		$2,659.03	$2,659.03	$2,659.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.85 / $1,379.09 / $3,137.59	Professional		$1,011.85	$1,379.09	$3,137.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.76 / $1,381.55 / $2,211.19	Professional		$1,038.76	$1,381.55	$2,211.19
United Facility/Professional Professional Modifier Low / Median / High Price $899.83 / $1,284.16 / $2,170.16	Professional		$899.83	$1,284.16	$2,170.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $807.81 / $1,194.57 / $1,485.48	Professional		$807.81	$1,194.57	$1,485.48