Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $4,570.88	Professional		$1,584.89	$1,949.84	$4,570.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,570.40	Professional		$1,737.80	$1,949.84	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,168.69	Professional		$1,548.82	$2,137.96	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $3,388.44	Professional		$1,659.59	$1,862.09	$3,388.44
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 / $3,630.78	Professional		$1,412.54	$1,949.84	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,511.89	Professional		$1,348.96	$1,905.46	$2,511.89