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 / $2,884.03	Professional		$1,445.44	$1,737.80	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,905.46	Professional		$1,412.54	$1,548.82	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $3,630.78	Professional		$1,348.96	$1,737.80	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $2,884.03	Professional		$1,412.54	$1,584.89	$2,884.03
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 $1,288.25 / $1,698.24 / $3,162.28	Professional		$1,288.25	$1,698.24	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,187.76	Professional		$1,230.27	$1,621.81	$2,187.76