Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,548.13	Professional		$1,174.90	$1,621.81	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,949.84	Professional		$1,479.11	$1,621.81	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,630.78	Professional		$1,230.27	$1,819.70	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,454.71	Professional		$1,412.54	$1,621.81	$2,454.71
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 $1,174.90 / $1,659.59 / $2,818.38	Professional		$1,174.90	$1,659.59	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,137.96	Professional		$1,258.93	$1,778.28	$2,137.96