Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $3,090.30	Professional		$1,071.52	$1,288.25	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,548.82	Professional		$1,148.15	$1,288.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,754.23	Professional		$1,023.29	$1,380.38	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $2,238.72	Professional		$1,122.02	$1,258.93	$2,238.72
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 $912.01 / $1,288.25 / $2,398.83	Professional		$912.01	$1,288.25	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,659.59	Professional		$870.96	$1,288.25	$1,659.59