Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $2,570.40	Professional		$831.76	$1,096.48	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,380.38	Professional		$1,023.29	$1,148.15	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,570.40	Professional		$870.96	$1,288.25	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,698.24	Professional		$1,000.00	$1,148.15	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,949.84	Professional		$812.83	$1,148.15	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,513.56	Professional		$870.96	$1,258.93	$1,513.56