Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $3,801.89	Professional		$1,202.26	$1,479.11	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,905.46	Professional		$1,288.25	$1,621.81	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,162.28	Professional		$1,258.93	$1,659.59	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $2,570.40	Professional		$1,513.56	$1,698.24	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $1,380.38	Facility		$158.49	$371.54	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,951.21	Professional		$1,122.02	$1,621.81	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,290.87	Professional		$1,230.27	$1,778.28	$2,290.87