Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,548.13	Professional		$1,096.48	$1,412.54	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,778.28	Professional		$1,202.26	$1,348.96	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,951.21	Professional		$1,096.48	$1,479.11	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $2,398.83	Professional		$1,148.15	$1,288.25	$2,398.83
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 $1,000.00 / $1,348.96 / $2,511.89	Professional		$1,000.00	$1,348.96	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,737.80	Professional		$933.25	$1,318.26	$1,737.80