Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $5,623.41	Professional		$2,511.89	$3,162.28	$5,623.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $3,630.78	Professional		$2,691.53	$3,019.95	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $6,606.93	Professional		$2,454.71	$3,019.95	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $5,248.07	Professional		$2,630.27	$2,951.21	$5,248.07
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 $2,137.96 / $2,951.21 / $5,754.40	Professional		$2,137.96	$2,951.21	$5,754.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $3,890.45	Professional		$2,137.96	$3,019.95	$3,890.45