Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $4,570.88	Professional		$1,445.44	$1,737.80	$4,570.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,398.83	Professional		$1,819.70	$2,041.74	$2,398.83
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 $1,479.11 / $2,089.30 / $3,801.89	Professional		$1,479.11	$2,089.30	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $3,090.30	Professional		$1,737.80	$1,995.26	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $1,621.81	Facility		$158.49	$371.54	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,467.37	Professional		$1,318.26	$1,949.84	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,691.53	Professional		$1,412.54	$2,089.30	$2,691.53