Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,187.76	Professional		$1,698.24	$1,862.09	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,041.74	Professional		$1,659.59	$1,819.70	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $3,388.44	Professional		$2,290.87	$2,630.27	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,737.80	Facility		$954.99	$954.99	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,862.09	Professional		$954.99	$1,023.29	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15