Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,884.03	Professional		$1,548.82	$1,905.46	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,290.87	Professional		$1,698.24	$1,862.09	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $4,073.80	Professional		$1,513.56	$1,995.26	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $3,311.31	Professional		$1,621.81	$1,819.70	$3,311.31
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 $1,348.96 / $1,905.46 / $3,548.13	Professional		$1,348.96	$1,905.46	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,454.71	Professional		$1,318.26	$1,862.09	$2,454.71