Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,088.67 / $2,296.80 / $5,670.09	Professional		$2,088.67	$2,296.80	$5,670.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,218.55 / $2,457.01 / $3,450.00	Professional		$2,218.55	$2,457.01	$3,450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,750.24 / $2,344.23 / $4,704.64	Professional		$1,750.24	$2,344.23	$4,704.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,913.37 / $2,468.25 / $4,089.51	Professional		$1,913.37	$2,468.25	$4,089.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,594.32 / $2,094.32 / $4,062.98	Professional		$1,594.32	$2,094.32	$4,062.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,583.35 / $1,583.35 / $2,684.12	Professional		$1,583.35	$1,583.35	$2,684.12