Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $3,235.94	Professional		$1,230.27	$1,548.82	$3,235.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $2,041.74	Professional		$1,380.38	$1,513.56	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,311.31	Professional		$1,202.26	$1,621.81	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $2,630.27	Professional		$1,318.26	$1,479.11	$2,630.27
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 $1,071.52 / $1,513.56 / $2,818.38	Professional		$1,071.52	$1,513.56	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $1,995.26	Professional		$1,047.13	$1,513.56	$1,995.26