Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,981.07	Professional		$1,258.93	$1,584.89	$3,981.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $1,862.09	Professional		$1,380.38	$1,548.82	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,311.31	Professional		$1,230.27	$1,621.81	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $2,511.89	Professional		$1,230.27	$1,380.38	$2,511.89
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 $1,148.15 / $1,548.82 / $2,884.03	Professional		$1,148.15	$1,548.82	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,949.84	Professional		$1,096.48	$1,412.54	$1,949.84