Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $4,786.30	Professional		$1,621.81	$1,905.46	$4,786.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $4,073.80	Professional		$1,862.09	$2,089.30	$4,073.80
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 $1,659.59 / $2,344.23 / $4,073.80	Professional		$1,659.59	$2,344.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $3,311.31	Professional		$1,905.46	$2,187.76	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $1,778.28	Facility		$158.49	$371.54	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,801.89	Professional		$1,445.44	$2,137.96	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,951.21	Professional		$1,698.24	$2,290.87	$2,951.21