Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,467.37	Professional		$1,202.26	$1,513.56	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,778.28	Professional		$1,318.26	$1,445.44	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,162.28	Professional		$1,174.90	$1,584.89	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,511.89	Professional		$1,258.93	$1,412.54	$2,511.89
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 $1,047.13 / $1,479.11 / $2,691.53	Professional		$1,047.13	$1,479.11	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,905.46	Professional		$1,047.13	$1,445.44	$1,905.46