Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,801.89	Professional		$1,288.25	$1,584.89	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,905.46	Professional		$1,412.54	$1,584.89	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,388.44	Professional		$1,258.93	$1,698.24	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,754.23	Professional		$1,348.96	$1,513.56	$2,754.23
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 $1,122.02 / $1,584.89 / $2,951.21	Professional		$1,122.02	$1,584.89	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,041.74	Professional		$1,071.52	$1,548.82	$2,041.74