Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $5,248.07	Professional		$1,737.80	$2,137.96	$5,248.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,884.03	Professional		$1,905.46	$2,089.30	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,570.88	Professional		$1,698.24	$2,290.87	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $3,630.78	Professional		$1,819.70	$2,041.74	$3,630.78
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 $1,548.82 / $2,089.30 / $3,981.07	Professional		$1,548.82	$2,089.30	$3,981.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,754.23	Professional		$1,445.44	$2,089.30	$2,754.23