Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,395.16 / $1,395.16 / $1,590.48	Professional		$1,395.16	$1,395.16	$1,590.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.99 / $619.99 / $619.99	Professional		$619.99	$619.99	$619.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $2,005.54 / $2,615.92	Professional		$1,743.95	$2,005.54	$2,615.92
United Facility/Professional Facility Modifier Low / Median / High Price $732.46 / $732.46 / $732.46	Facility		$732.46	$732.46	$732.46
United Facility/Professional Professional Modifier Low / Median / High Price $491.32 / $538.11 / $1,174.38	Professional		$491.32	$538.11	$1,174.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $871.98 / $929.99 / $929.99	Professional		$871.98	$929.99	$929.99