Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,630.78	Professional		$1,174.90	$1,445.44	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,479.11	Professional		$1,096.48	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,019.95	Professional		$1,096.48	$1,621.81	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,089.30	Professional		$1,122.02	$1,288.25	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,398.83	Professional		$1,000.00	$1,445.44	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,698.24	Professional		$1,202.26	$1,412.54	$1,698.24