Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $4,365.16	Professional		$1,698.24	$2,089.30	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,511.89	Professional		$1,819.70	$2,041.74	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $4,466.84	Professional		$1,659.59	$2,238.72	$4,466.84
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 $1,513.56 / $2,089.30 / $3,890.45	Professional		$1,513.56	$2,089.30	$3,890.45
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