Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,388.44	Professional		$1,071.52	$1,348.96	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,659.59	Professional		$1,230.27	$1,380.38	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,019.95	Professional		$1,122.02	$1,584.89	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,089.30	Professional		$1,071.52	$1,230.27	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,398.83	Professional		$977.24	$1,412.54	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $1,621.81	Professional		$933.25	$1,380.38	$1,621.81