Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $2,691.53	Professional		$1,445.44	$1,737.80	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,479.11 / $1,778.28	Professional		$812.83	$1,479.11	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,548.13	Professional		$1,258.93	$1,778.28	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,630.27	Professional		$1,258.93	$1,412.54	$2,630.27
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 $1,230.27 / $1,737.80 / $3,162.28	Professional		$1,230.27	$1,737.80	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,238.72	Professional		$1,174.90	$1,479.11	$2,238.72