Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.20 / $1,113.76 / $6,884.75	Professional		$1,091.20	$1,113.76	$6,884.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,452.41 / $1,474.89 / $1,800.00	Professional		$1,452.41	$1,474.89	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.74 / $1,770.05 / $3,373.47	Professional		$1,199.74	$1,770.05	$3,373.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,356.68 / $1,750.12 / $2,923.38	Professional		$1,356.68	$1,750.12	$2,923.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.67 / $1,587.00 / $2,674.38	Professional		$1,159.67	$1,587.00	$2,674.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,270.33 / $1,560.18 / $1,926.17	Professional		$1,270.33	$1,560.18	$1,926.17