Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,311.31	Professional		$1,348.96	$1,659.59	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $2,041.74	Professional		$1,412.54	$1,548.82	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,548.13	Professional		$1,318.26	$1,778.28	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,818.38	Professional		$1,412.54	$1,584.89	$2,818.38
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 $1,174.90 / $1,621.81 / $3,019.95	Professional		$1,174.90	$1,621.81	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,137.96	Professional		$1,122.02	$1,621.81	$2,137.96