Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $3,311.31	Professional		$1,122.02	$1,380.38	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,584.89	Professional		$1,202.26	$1,318.26	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,311.31	Professional		$1,148.15	$1,659.59	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,290.87	Professional		$1,230.27	$1,412.54	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,511.89	Professional		$1,023.29	$1,479.11	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,862.09	Professional		$1,096.48	$1,548.82	$1,862.09