Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,862.09	Professional		$1,174.90	$1,479.11	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,238.72	Professional		$1,905.46	$1,905.46	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $2,951.21	Professional		$1,905.46	$2,511.89	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $812.83 / $1,584.89	Facility		$91.20	$812.83	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,238.72	Professional		$1,000.00	$1,348.96	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,238.72	Professional		$1,819.70	$1,819.70	$2,238.72