Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,831.48 / $1,991.72 / $3,405.59	Professional		$1,831.48	$1,991.72	$3,405.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,933.80 / $2,130.69 / $2,435.38	Professional		$1,933.80	$2,130.69	$2,435.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,532.75 / $2,033.71 / $4,126.60	Professional		$1,532.75	$2,033.71	$4,126.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,669.02 / $2,153.04 / $3,573.49	Professional		$1,669.02	$2,153.04	$3,573.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.76 / $1,840.25 / $3,111.05	Professional		$1,356.76	$1,840.25	$3,111.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,329.04 / $1,329.04 / $2,346.67	Professional		$1,329.04	$1,329.04	$2,346.67