Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $5,248.07	Professional		$1,621.81	$2,041.74	$5,248.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,454.71	Professional		$1,819.70	$1,995.26	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,570.88	Professional		$1,698.24	$2,511.89	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $3,630.78	Professional		$1,819.70	$2,041.74	$3,630.78
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 $1,513.56 / $2,187.76 / $3,630.78	Professional		$1,513.56	$2,187.76	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $2,691.53	Professional		$1,445.44	$2,290.87	$2,691.53