Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $3,548.13	Professional		$1,071.52	$1,288.25	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,548.82	Professional		$1,148.15	$1,288.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $3,235.94	Professional		$1,096.48	$1,479.11	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,949.84	Professional		$1,071.52	$1,230.27	$1,949.84
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 $977.24 / $1,348.96 / $2,290.87	Professional		$977.24	$1,348.96	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,621.81	Professional		$912.01	$1,380.38	$1,621.81