Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.89 / $1,607.56 / $7,011.29	Professional		$1,336.89	$1,607.56	$7,011.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,460.00 / $1,620.52 / $1,852.24	Professional		$1,460.00	$1,620.52	$1,852.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.20 / $1,850.81 / $3,528.91	Professional		$1,310.20	$1,850.81	$3,528.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,425.70 / $1,896.18 / $3,045.93	Professional		$1,425.70	$1,896.18	$3,045.93
United Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.30 / $1,641.64 / $3,101.33	Professional		$1,129.30	$1,641.64	$3,101.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,123.08 / $1,639.55 / $2,000.66	Professional		$1,123.08	$1,639.55	$2,000.66