Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.54 / $1,643.88 / $2,899.76	Professional		$1,418.54	$1,643.88	$2,899.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,804.30 / $1,804.30 / $2,420.00	Professional		$1,804.30	$1,804.30	$2,420.00
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 $1,427.55 / $2,009.46 / $3,575.83	Professional		$1,427.55	$2,009.46	$3,575.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,695.62 / $2,237.48 / $2,855.78	Professional		$1,695.62	$2,237.48	$2,855.78
United Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $471.00	Facility		$173.00	$173.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.44 / $1,815.14 / $3,369.81	Professional		$1,236.44	$1,815.14	$3,369.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,416.72 / $1,994.65 / $2,391.23	Professional		$1,416.72	$1,994.65	$2,391.23