Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $4,466.84	Professional		$1,202.26	$1,698.24	$4,466.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $1,862.09	Professional		$1,380.38	$1,548.82	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $3,630.78	Professional		$1,047.13	$1,819.70	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,884.03	Professional		$1,445.44	$1,621.81	$2,884.03
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 $758.58 / $1,548.82 / $2,754.23	Professional		$758.58	$1,548.82	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,137.96	Professional		$1,148.15	$1,778.28	$2,137.96