Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,698.24	Professional		$1,071.52	$1,258.93	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,380.38	Professional		$1,096.48	$1,202.26	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,290.87	Professional		$1,513.56	$1,737.80	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,148.15	Facility		$630.96	$630.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $676.08 / $1,230.27	Professional		$630.96	$676.08	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58