Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.56 / $1,836.42 / $1,836.42	Professional		$1,591.56	$1,836.42	$1,836.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,958.85 / $1,958.85 / $2,233.09	Professional		$1,958.85	$1,958.85	$2,233.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.74 / $1,297.74 / $1,297.74	Professional		$1,297.74	$1,297.74	$1,297.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,815.84 / $3,672.84	Professional		$2,448.56	$2,815.84	$3,672.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,101.84 / $2,203.69	Professional		$1,028.40	$1,101.84	$2,203.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,224.28 / $1,224.28 / $1,224.28	Professional		$1,224.28	$1,224.28	$1,224.28