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 / $1,621.81	Professional		$1,071.52	$1,258.93	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,412.54	Professional		$1,096.48	$1,230.27	$1,412.54
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 $1,548.82 / $1,778.28 / $2,290.87	Professional		$1,548.82	$1,778.28	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,174.90	Facility		$645.65	$645.65	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $1,258.93	Professional		$645.65	$691.83	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25