Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,819.70	Professional		$1,122.02	$1,445.44	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,380.38	Professional		$1,047.13	$1,258.93	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $295.12	Facility		$50.12	$50.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,691.53	Professional		$912.01	$1,230.27	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,621.81	Professional		$977.24	$1,122.02	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $2,290.87	Professional		$831.76	$1,071.52	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,548.82	Professional		$912.01	$1,071.52	$1,548.82