Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $4,570.88	Professional		$1,380.38	$1,659.59	$4,570.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,995.26	Professional		$1,479.11	$1,621.81	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $4,168.69	Professional		$1,412.54	$1,905.46	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,511.89	Professional		$1,348.96	$1,548.82	$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 $1,258.93 / $1,778.28 / $2,951.21	Professional		$1,258.93	$1,778.28	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,041.74	Professional		$1,174.90	$1,737.80	$2,041.74