Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,119.33 / $2,317.67 / $4,787.72	Professional		$2,119.33	$2,317.67	$4,787.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,235.63 / $2,457.42 / $3,350.00	Professional		$2,235.63	$2,457.42	$3,350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,764.66 / $2,307.14 / $4,752.68	Professional		$1,764.66	$2,307.14	$4,752.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,931.06 / $2,491.07 / $4,131.24	Professional		$1,931.06	$2,491.07	$4,131.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,551.09 / $2,142.78 / $4,134.08	Professional		$1,551.09	$2,142.78	$4,134.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,620.89 / $1,620.89 / $2,708.02	Professional		$1,620.89	$1,620.89	$2,708.02