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 / $2,570.40	Professional		$1,348.96	$1,659.59	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,862.09	Professional		$1,380.38	$1,513.56	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,467.37	Professional		$1,318.26	$1,737.80	$3,467.37
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 $1,230.27 / $1,659.59 / $3,019.95	Professional		$1,230.27	$1,659.59	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,089.30	Professional		$1,122.02	$1,548.82	$2,089.30