Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $5,754.40	Professional		$1,905.46	$2,290.87	$5,754.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,754.23	Professional		$1,778.28	$2,290.87	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,128.61	Professional		$1,778.28	$2,691.53	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,548.13	Professional		$1,819.70	$2,089.30	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $4,073.80	Professional		$1,659.59	$2,290.87	$4,073.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $2,754.23	Professional		$1,621.81	$2,344.23	$2,754.23