Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,801.89	Professional		$1,174.90	$1,548.82	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,995.26	Professional		$1,288.25	$1,621.81	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $870.96	Facility		$512.86	$512.86	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,311.31	Professional		$1,258.93	$1,737.80	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,754.23	Professional		$1,584.89	$1,778.28	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $2,238.72	Facility		$588.84	$851.14	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,090.30	Professional		$1,148.15	$1,659.59	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,454.71	Professional		$1,318.26	$1,862.09	$2,454.71