Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.96 / $1,202.43 / $1,331.22	Professional		$1,051.96	$1,202.43	$1,331.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,121.39 / $1,146.03 / $1,260.63	Professional		$1,121.39	$1,146.03	$1,260.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $873.24	Facility		$445.00	$453.73	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.10 / $1,563.01 / $2,575.41	Professional		$1,065.10	$1,563.01	$2,575.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.38 / $1,593.41 / $2,067.17	Professional		$1,227.38	$1,593.41	$2,067.17
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.48 / $1,308.06 / $2,253.52	Professional		$943.48	$1,308.06	$2,253.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,143.07 / $1,420.48 / $1,743.87	Professional		$1,143.07	$1,420.48	$1,743.87