Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $3,235.94	Professional		$1,096.48	$1,380.38	$3,235.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,659.59	Professional		$1,230.27	$1,380.38	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,235.94	Professional		$1,122.02	$1,659.59	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,187.76	Professional		$1,348.96	$1,513.56	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,511.89	Professional		$1,023.29	$1,445.44	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $1,949.84	Professional		$1,096.48	$1,659.59	$1,949.84