Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,890.45	Professional		$1,202.26	$1,513.56	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,819.70	Professional		$1,348.96	$1,479.11	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,388.44	Professional		$1,288.25	$1,819.70	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,344.23	Professional		$1,348.96	$1,513.56	$2,344.23
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 $1,122.02 / $1,621.81 / $2,691.53	Professional		$1,122.02	$1,621.81	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $1,995.26	Professional		$1,096.48	$1,698.24	$1,995.26