Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $5,495.41	Professional		$1,905.46	$2,398.83	$5,495.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $3,162.28	Professional		$2,089.30	$2,344.23	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $5,011.87	Professional		$1,862.09	$2,511.89	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $4,073.80	Professional		$1,995.26	$2,238.72	$4,073.80
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 $1,737.80 / $2,398.83 / $4,365.16	Professional		$1,737.80	$2,398.83	$4,365.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,019.95	Professional		$1,621.81	$2,290.87	$3,019.95