Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,511.89	Professional		$1,288.25	$1,584.89	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,089.30	Professional		$1,584.89	$1,584.89	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Professional		$1,995.26	$1,995.26	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $4,570.88	Professional		$2,137.96	$3,090.30	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,862.09 / $2,041.74	Facility		$794.33	$1,862.09	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,398.83	Professional		$1,348.96	$1,548.82	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,137.96	Professional		$1,621.81	$1,621.81	$2,137.96