Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $3,630.78	Professional		$1,202.26	$1,445.44	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $1,995.26	Professional		$1,513.56	$1,698.24	$1,995.26
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 $1,258.93 / $1,737.80 / $3,090.30	Professional		$1,258.93	$1,737.80	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,511.89	Professional		$1,445.44	$1,659.59	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $1,318.26	Facility		$158.49	$371.54	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,884.03	Professional		$1,096.48	$1,584.89	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,238.72	Professional		$1,288.25	$1,737.80	$2,238.72