Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,265.80	Professional		$1,479.11	$1,819.70	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,398.83	Professional		$1,621.81	$1,778.28	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,890.45	Professional		$1,445.44	$1,949.84	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $3,162.28	Professional		$1,548.82	$1,737.80	$3,162.28
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 $1,288.25 / $1,778.28 / $3,311.31	Professional		$1,288.25	$1,778.28	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,344.23	Professional		$1,230.27	$1,778.28	$2,344.23