Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $3,388.44	Professional		$1,047.13	$1,258.93	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,513.56	Professional		$1,122.02	$1,230.27	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $3,162.28	Professional		$1,047.13	$1,445.44	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,905.46	Professional		$1,023.29	$1,174.90	$1,905.46
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 $933.25 / $1,348.96 / $2,238.72	Professional		$933.25	$1,348.96	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,548.82	Professional		$891.25	$1,348.96	$1,548.82