Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.93 / $1,093.21 / $5,433.88	Professional		$1,047.93	$1,093.21	$5,433.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,189.57 / $1,234.33 / $1,570.00	Professional		$1,189.57	$1,234.33	$1,570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.86 / $1,384.13 / $3,201.51	Professional		$1,002.86	$1,384.13	$3,201.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.52 / $1,410.49 / $2,253.06	Professional		$1,060.52	$1,410.49	$2,253.06
United Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.70 / $1,263.08 / $2,551.98	Professional		$885.70	$1,263.08	$2,551.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $821.79 / $1,219.59 / $1,516.83	Professional		$821.79	$1,219.59	$1,516.83