Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,311.31	Professional		$1,258.93	$1,584.89	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,862.09	Professional		$1,288.25	$1,445.44	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,388.44	Professional		$1,258.93	$1,659.59	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,691.53	Professional		$1,348.96	$1,513.56	$2,691.53
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 $1,096.48 / $1,548.82 / $2,884.03	Professional		$1,096.48	$1,548.82	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,995.26	Professional		$1,071.52	$1,548.82	$1,995.26