Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $4,365.16	Professional		$1,737.80	$2,089.30	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,511.89	Professional		$1,862.09	$2,089.30	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,466.84	Professional		$1,698.24	$2,238.72	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $3,630.78	Professional		$1,778.28	$1,995.26	$3,630.78
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 $1,479.11 / $2,089.30 / $3,890.45	Professional		$1,479.11	$2,089.30	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,691.53	Professional		$1,445.44	$2,041.74	$2,691.53