Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,548.13	Professional		$1,202.26	$1,513.56	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,137.96	Professional		$1,348.96	$1,513.56	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,801.89	Professional		$1,288.25	$1,737.80	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $2,290.87	Professional		$1,258.93	$1,445.44	$2,290.87
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 $1,148.15 / $1,584.89 / $2,691.53	Professional		$1,148.15	$1,584.89	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $1,862.09	Professional		$1,071.52	$1,621.81	$1,862.09