Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $3,467.37	Professional		$1,380.38	$3,019.95	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $2,630.27 / $2,630.27	Professional		$13.80	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,890.45 / $5,623.41	Professional		$2,630.27	$3,890.45	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,380.38 / $3,715.35	Facility		$295.12	$1,380.38	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $6,165.95	Professional		$1,698.24	$2,570.40	$6,165.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27