Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.91 / $1,269.93 / $3,267.26	Professional		$1,141.91	$1,269.93	$3,267.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,499.14 / $1,499.14 / $1,903.91	Professional		$1,499.14	$1,499.14	$1,903.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $641.21 / $1,335.00	Facility		$641.21	$641.21	$1,335.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.03 / $1,651.11 / $2,734.69	Professional		$1,143.03	$1,651.11	$2,734.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,298.24 / $1,685.50 / $2,186.51	Professional		$1,298.24	$1,685.50	$2,186.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $2,169.00 / $4,028.00	Facility		$2,169.00	$2,169.00	$4,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $978.52 / $1,405.08 / $2,600.61	Professional		$978.52	$1,405.08	$2,600.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,163.63 / $1,502.58 / $1,844.77	Professional		$1,163.63	$1,502.58	$1,844.77