Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,630.78	Professional		$1,122.02	$1,445.44	$3,630.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,778.28	Professional		$1,348.96	$1,479.11	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,388.44	Professional		$1,202.26	$1,737.80	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,511.89	Professional		$1,202.26	$1,380.38	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,630.27	Professional		$1,148.15	$1,584.89	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,819.70	Professional		$1,258.93	$1,548.82	$1,819.70