Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $5,495.41	Professional		$1,698.24	$2,187.76	$5,495.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,951.21	Professional		$1,949.84	$2,187.76	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,677.35	Professional		$1,737.80	$2,398.83	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $3,801.89	Professional		$1,862.09	$2,089.30	$3,801.89
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 / $2,137.96 / $4,073.80	Professional		$1,548.82	$2,137.96	$4,073.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,818.38	Professional		$1,584.89	$2,137.96	$2,818.38