Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,818.38	Professional		$1,513.56	$1,862.09	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,187.76	Professional		$1,584.89	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,981.07	Professional		$1,479.11	$1,819.70	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $3,162.28	Professional		$1,548.82	$1,778.28	$3,162.28
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 $1,288.25 / $1,778.28 / $3,388.44	Professional		$1,288.25	$1,778.28	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,344.23	Professional		$1,288.25	$1,819.70	$2,344.23