Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $4,786.30	Professional		$1,548.82	$1,949.84	$4,786.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $2,344.23	Professional		$1,071.52	$1,949.84	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $4,365.16	Professional		$1,445.44	$2,290.87	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,019.95	Professional		$1,737.80	$1,949.84	$3,019.95
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 $1,318.26 / $1,949.84 / $3,467.37	Professional		$1,318.26	$1,949.84	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $2,570.40	Professional		$1,412.54	$2,187.76	$2,570.40