Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.01 / $1,575.26 / $1,671.70	Professional		$1,128.01	$1,575.26	$1,671.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,283.00 / $1,401.21 / $1,471.27	Professional		$1,283.00	$1,401.21	$1,471.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $1,628.10 / $1,628.10	Professional		$1,628.10	$1,628.10	$1,628.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.35 / $1,550.60 / $2,022.53	Professional		$1,348.35	$1,550.60	$2,022.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,118.00 / $2,118.00 / $2,118.00	Facility		$2,118.00	$2,118.00	$2,118.00
United Facility/Professional Professional Modifier Low / Median / High Price $975.62 / $1,240.02 / $2,320.53	Professional		$975.62	$1,240.02	$2,320.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.76 / $1,417.41 / $1,550.60	Professional		$1,047.76	$1,417.41	$1,550.60