Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.25 / $1,377.60 / $3,575.60	Professional		$1,168.25	$1,377.60	$3,575.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,478.93 / $1,567.67	Professional		$1,260.00	$1,478.93	$1,567.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.94 / $1,596.05 / $2,943.82	Professional		$1,142.94	$1,596.05	$2,943.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.42 / $1,844.64 / $2,361.96	Professional		$1,402.42	$1,844.64	$2,361.96
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 $1,004.22 / $1,424.40 / $2,696.32	Professional		$1,004.22	$1,424.40	$2,696.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,136.03 / $1,644.44 / $1,973.69	Professional		$1,136.03	$1,644.44	$1,973.69