Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $3,311.31	Professional		$1,148.15	$1,412.54	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,778.28	Professional		$1,230.27	$1,513.56	$1,778.28
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 $1,174.90 / $1,659.59 / $3,019.95	Professional		$1,174.90	$1,659.59	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,454.71	Professional		$1,445.44	$1,621.81	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $4,073.80	Facility		$1,318.26	$2,187.76	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,818.38	Professional		$1,047.13	$1,513.56	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,187.76	Professional		$1,174.90	$1,698.24	$2,187.76