Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,320.41 / $2,713.20 / $5,100.81	Professional		$2,320.41	$2,713.20	$5,100.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,674.08 / $2,956.98 / $3,134.40	Professional		$2,674.08	$2,956.98	$3,134.40
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 $2,363.71 / $3,433.60 / $5,847.45	Professional		$2,363.71	$3,433.60	$5,847.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,755.45 / $3,650.65 / $4,640.75	Professional		$2,755.45	$3,650.65	$4,640.75
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 $2,049.87 / $2,822.94 / $5,555.82	Professional		$2,049.87	$2,822.94	$5,555.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,414.90 / $3,254.45 / $3,896.23	Professional		$2,414.90	$3,254.45	$3,896.23