Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,856.30 / $2,342.63 / $4,561.35	Professional		$1,856.30	$2,342.63	$4,561.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,277.88 / $2,494.25 / $3,025.00	Professional		$2,277.88	$2,494.25	$3,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.02 / $2,362.46 / $4,834.27	Professional		$1,798.02	$2,362.46	$4,834.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,967.09 / $2,537.55 / $4,206.83	Professional		$1,967.09	$2,537.55	$4,206.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,641.66 / $2,233.62 / $3,910.26	Professional		$1,641.66	$2,233.62	$3,910.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,598.26 / $1,598.26 / $2,758.70	Professional		$1,598.26	$1,598.26	$2,758.70