Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $4,265.80	Professional		$1,348.96	$1,659.59	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $2,137.96	Professional		$1,584.89	$1,737.80	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,715.35	Professional		$1,412.54	$1,949.84	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $2,570.40	Professional		$1,513.56	$1,698.24	$2,570.40
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 $1,230.27 / $1,778.28 / $2,951.21	Professional		$1,230.27	$1,778.28	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,238.72	Professional		$1,174.90	$1,905.46	$2,238.72