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 / $3,890.45	Professional		$1,148.15	$1,380.38	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,698.24	Professional		$1,258.93	$1,380.38	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,548.13	Professional		$1,202.26	$1,621.81	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,089.30	Professional		$1,148.15	$1,318.26	$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 $1,047.13 / $1,445.44 / $2,511.89	Professional		$1,047.13	$1,445.44	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $1,737.80	Professional		$977.24	$1,479.11	$1,737.80