Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.67 / $1,217.54 / $6,064.54	Professional		$1,168.67	$1,217.54	$6,064.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,322.96 / $1,322.96 / $1,670.00	Professional		$1,322.96	$1,322.96	$1,670.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.25 / $1,541.03 / $3,567.25	Professional		$1,124.25	$1,541.03	$3,567.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.97 / $1,572.02 / $2,513.89	Professional		$1,181.97	$1,572.02	$2,513.89
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 $1,005.76 / $1,383.53 / $2,316.92	Professional		$1,005.76	$1,383.53	$2,316.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $937.39 / $1,359.27 / $1,690.76	Professional		$937.39	$1,359.27	$1,690.76