Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.98 / $1,166.13 / $1,869.84	Professional		$1,074.98	$1,166.13	$1,869.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,658.10 / $1,658.10 / $1,658.10	Professional		$1,658.10	$1,658.10	$1,658.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $1,639.62	Facility		$1,639.62	$1,639.62	$1,639.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $1,393.68 / $1,639.62	Professional		$188.66	$1,393.68	$1,639.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,001.52 / $2,359.62 / $3,138.30	Professional		$2,001.52	$2,359.62	$3,138.30
United Facility/Professional Professional Modifier Low / Median / High Price $937.85 / $1,230.11 / $1,854.15	Professional		$937.85	$1,230.11	$1,854.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,703.49 / $1,703.49 / $1,997.01	Professional		$1,703.49	$1,703.49	$1,997.01