Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.80 / $1,479.72 / $1,620.93	Professional		$1,232.80	$1,479.72	$1,620.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,617.16 / $1,714.19	Professional		$1,420.00	$1,617.16	$1,714.19
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 $1,252.18 / $1,729.80 / $3,217.58	Professional		$1,252.18	$1,729.80	$3,217.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,530.02 / $2,015.17 / $2,576.88	Professional		$1,530.02	$2,015.17	$2,576.88
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 $1,110.01 / $1,562.24 / $2,950.13	Professional		$1,110.01	$1,562.24	$2,950.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,240.49 / $1,796.47 / $2,154.98	Professional		$1,240.49	$1,796.47	$2,154.98