Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.20 / $1,535.81 / $2,093.19	Professional		$1,257.20	$1,535.81	$2,093.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,831.55 / $1,831.55 / $2,042.60	Professional		$1,831.55	$1,831.55	$2,042.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.64 / $1,219.64 / $1,219.64	Facility		$1,219.64	$1,219.64	$1,219.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.69 / $1,036.69 / $1,219.64	Professional		$1,036.69	$1,036.69	$1,219.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,377.23 / $2,774.66 / $3,513.02	Professional		$2,377.23	$2,774.66	$3,513.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,049.69 / $1,389.97 / $2,399.78	Professional		$1,049.69	$1,389.97	$2,399.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,901.28 / $1,901.28 / $2,539.80	Professional		$1,901.28	$1,901.28	$2,539.80