Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.17 / $1,171.48 / $1,910.10	Professional		$1,025.17	$1,171.48	$1,910.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,340.74 / $1,340.74 / $1,340.74	Professional		$1,340.74	$1,340.74	$1,340.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $1,366.32	Professional		$997.41	$997.41	$1,366.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.32 / $2,389.03 / $3,440.20	Professional		$1,672.32	$2,389.03	$3,440.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.86 / $1,256.77 / $1,889.97	Professional		$1,090.86	$1,256.77	$1,889.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,323.13 / $1,323.13 / $1,672.32	Professional		$1,323.13	$1,323.13	$1,672.32