Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $4,466.84	Professional		$1,380.38	$1,659.59	$4,466.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,238.72	Professional		$1,621.81	$1,905.46	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,348.96	Facility		$645.65	$645.65	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,548.13	Professional		$1,412.54	$1,949.84	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,884.03	Professional		$1,659.59	$1,862.09	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $1,513.56	Facility		$158.49	$371.54	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,311.31	Professional		$1,230.27	$1,819.70	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,511.89	Professional		$1,380.38	$1,949.84	$2,511.89