Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $4,073.80	Professional		$1,348.96	$1,737.80	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $2,089.30	Professional		$1,479.11	$1,659.59	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,548.13	Professional		$1,348.96	$1,778.28	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,951.21	Professional		$1,412.54	$1,621.81	$2,951.21
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 $1,230.27 / $1,659.59 / $3,090.30	Professional		$1,230.27	$1,659.59	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,137.96	Professional		$1,148.15	$1,659.59	$2,137.96