Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $3,715.35	Professional		$1,148.15	$1,380.38	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,659.59	Professional		$1,230.27	$1,348.96	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,467.37	Professional		$1,148.15	$1,584.89	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,089.30	Professional		$1,122.02	$1,288.25	$2,089.30
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 $1,023.29 / $1,412.54 / $2,454.71	Professional		$1,023.29	$1,412.54	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,698.24	Professional		$954.99	$1,445.44	$1,698.24