Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,089.30	Professional		$977.24	$1,737.80	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,090.30	Professional		$2,344.23	$2,570.40	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,981.07	Professional		$1,348.96	$1,995.26	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $3,090.30	Professional		$1,479.11	$1,698.24	$3,090.30
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 / $1,995.26 / $3,981.07	Professional		$1,230.27	$1,995.26	$3,981.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82