Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.35 / $1,372.90 / $3,452.53	Professional		$1,214.35	$1,372.90	$3,452.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,336.66 / $1,383.51 / $1,730.00	Professional		$1,336.66	$1,383.51	$1,730.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.11 / $1,629.60 / $3,217.16	Professional		$1,132.11	$1,629.60	$3,217.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.25 / $1,646.36 / $2,850.09	Professional		$1,276.25	$1,646.36	$2,850.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.08 / $1,429.86 / $2,409.56	Professional		$1,064.08	$1,429.86	$2,409.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,081.92 / $1,467.69 / $1,812.48	Professional		$1,081.92	$1,467.69	$1,812.48