Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,311.31	Professional		$1,000.00	$1,230.27	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,548.82	Professional		$1,071.52	$1,288.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,090.30	Professional		$1,023.29	$1,445.44	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $2,089.30	Professional		$1,023.29	$1,148.15	$2,089.30
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 $912.01 / $1,288.25 / $2,238.72	Professional		$912.01	$1,288.25	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,659.59	Professional		$891.25	$1,174.90	$1,659.59