Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,028.03 / $2,228.58 / $5,208.00	Professional		$2,028.03	$2,228.58	$5,208.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,158.26 / $2,356.10 / $3,400.00	Professional		$2,158.26	$2,356.10	$3,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.85 / $2,218.33 / $4,569.96	Professional		$1,701.85	$2,218.33	$4,569.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,860.14 / $2,399.58 / $3,973.64	Professional		$1,860.14	$2,399.58	$3,973.64
United Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,562.82 / $2,109.40 / $3,706.20	Professional		$1,562.82	$2,109.40	$3,706.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,461.79 / $1,461.79 / $2,609.57	Professional		$1,461.79	$1,461.79	$2,609.57