Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,754.23	Professional		$1,380.38	$1,698.24	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,187.76	Professional		$1,659.59	$1,659.59	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,454.71	Professional		$1,819.70	$1,819.70	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $4,786.30	Professional		$2,238.72	$3,162.28	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,398.83	Facility		$2,041.74	$2,344.23	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,454.71	Professional		$1,412.54	$1,621.81	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,630.27	Professional		$1,862.09	$1,862.09	$2,630.27