Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $1,316.25 / $1,316.25	Professional		$1,267.50	$1,316.25	$1,316.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $1,778.40	Professional		$1,560.00	$1,560.00	$1,778.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.50 / $1,033.50 / $1,033.50	Professional		$1,033.50	$1,033.50	$1,033.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $3,348.54	Professional		$1,950.00	$2,340.00	$3,348.54
United Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $819.00 / $819.00	Facility		$819.00	$819.00	$819.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $877.50 / $1,579.50	Professional		$737.10	$877.50	$1,579.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $975.00 / $975.00	Professional		$975.00	$975.00	$975.00