Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.80 / $1,624.35 / $1,739.10	Professional		$1,041.80	$1,624.35	$1,739.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,283.70 / $1,347.89 / $1,760.00	Professional		$1,283.70	$1,347.89	$1,760.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $722.49 / $1,996.74	Facility		$682.00	$722.49	$1,996.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.07 / $1,359.26 / $2,381.56	Professional		$1,038.07	$1,359.26	$2,381.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,361.31 / $1,565.51 / $2,041.97	Professional		$1,361.31	$1,565.51	$2,041.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $2,229.00	Facility		$1,386.00	$1,386.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.70 / $1,193.68 / $2,239.76	Professional		$905.70	$1,193.68	$2,239.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $948.82 / $1,427.31 / $1,565.51	Professional		$948.82	$1,427.31	$1,565.51