Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,570.88	Professional		$1,513.56	$2,137.96	$4,570.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,454.71	Professional		$1,819.70	$1,995.26	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,365.16	Professional		$1,548.82	$2,137.96	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,548.13	Professional		$1,737.80	$1,949.84	$3,548.13
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 $1,412.54 / $1,949.84 / $3,801.89	Professional		$1,412.54	$1,949.84	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,630.27	Professional		$1,412.54	$1,995.26	$2,630.27