Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.26 / $1,536.05 / $2,440.09	Professional		$1,213.26	$1,536.05	$2,440.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,562.00 / $1,562.00 / $1,990.95	Professional		$1,562.00	$1,562.00	$1,990.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $1,819.89	Facility		$1,819.89	$1,819.89	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $1,819.89	Professional		$1,328.52	$1,328.52	$1,819.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,038.74 / $2,912.48 / $4,193.97	Professional		$2,038.74	$2,912.48	$4,193.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.94 / $1,532.13 / $2,304.08	Professional		$1,311.94	$1,532.13	$2,304.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,762.37 / $1,762.37 / $2,038.74	Professional		$1,762.37	$1,762.37	$2,038.74