Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.40 / $1,268.44 / $1,268.44	Professional		$1,111.40	$1,268.44	$1,268.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,107.60 / $1,168.50 / $1,343.77	Professional		$1,107.60	$1,168.50	$1,343.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.11 / $1,209.31 / $1,949.96	Professional		$937.11	$1,209.31	$1,949.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,128.46 / $1,306.64 / $2,375.69	Professional		$1,128.46	$1,306.64	$2,375.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,236.00 / $1,236.00	Facility		$1,236.00	$1,236.00	$1,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.34 / $1,126.92 / $2,074.02	Professional		$875.34	$1,126.92	$2,074.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $777.78 / $1,187.84 / $1,300.41	Professional		$777.78	$1,187.84	$1,300.41