Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,818.38	Professional		$1,318.26	$1,621.81	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $1,905.46	Professional		$1,445.44	$1,584.89	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,467.37	Professional		$1,288.25	$1,698.24	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,754.23	Professional		$1,348.96	$1,513.56	$2,754.23
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 / $1,584.89 / $2,951.21	Professional		$1,122.02	$1,584.89	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,041.74	Professional		$1,096.48	$1,584.89	$2,041.74