Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $3,019.95	Professional		$812.83	$1,202.26	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,513.56	Professional		$1,071.52	$1,202.26	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,570.40	Professional		$977.24	$1,288.25	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $2,137.96	Professional		$1,047.13	$1,174.90	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,238.72	Professional		$870.96	$1,174.90	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,548.82	Professional		$870.96	$1,202.26	$1,548.82