Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.03 / $1,594.65 / $1,594.65	Professional		$1,382.03	$1,594.65	$1,594.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,700.96 / $1,700.96 / $1,939.09	Professional		$1,700.96	$1,700.96	$1,939.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.89 / $1,126.89 / $1,126.89	Professional		$1,126.89	$1,126.89	$1,126.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,445.13 / $3,189.30	Professional		$2,126.19	$2,445.13	$3,189.30
United Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $893.00 / $893.00	Facility		$893.00	$893.00	$893.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $978.05 / $1,934.80	Professional		$893.00	$978.05	$1,934.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,063.09 / $1,063.09 / $1,063.09	Professional		$1,063.09	$1,063.09	$1,063.09