Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,691.53	Professional		$1,380.38	$1,737.80	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $2,089.30	Professional		$1,548.82	$1,737.80	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,715.35	Professional		$1,380.38	$1,862.09	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,884.03	Professional		$1,380.38	$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 / $1,737.80 / $3,162.28	Professional		$1,288.25	$1,737.80	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,187.76	Professional		$1,412.54	$1,905.46	$2,187.76