Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,090.30	Professional		$1,479.11	$1,862.09	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,995.26	Professional		$1,513.56	$1,659.59	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,801.89	Professional		$1,412.54	$1,905.46	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $2,951.21	Professional		$1,479.11	$1,659.59	$2,951.21
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 $1,318.26 / $1,819.70 / $3,311.31	Professional		$1,318.26	$1,819.70	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,290.87	Professional		$1,230.27	$1,698.24	$2,290.87