Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,905.46	Professional		$1,348.96	$1,584.89	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,778.28	Professional		$1,412.54	$1,548.82	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $2,884.03	Professional		$1,949.84	$2,238.72	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,479.11	Facility		$812.83	$812.83	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,584.89	Professional		$812.83	$870.96	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,548.82	Professional		$977.24	$1,548.82	$1,548.82