Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.74 / $1,886.63 / $4,255.13	Professional		$1,718.74	$1,886.63	$4,255.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,832.22 / $2,024.77 / $2,700.00	Professional		$1,832.22	$2,024.77	$2,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.08 / $1,867.75 / $3,876.98	Professional		$1,444.08	$1,867.75	$3,876.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,577.96 / $2,035.57 / $3,370.86	Professional		$1,577.96	$2,035.57	$3,370.86
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 $1,250.24 / $1,720.64 / $2,913.39	Professional		$1,250.24	$1,720.64	$2,913.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,237.35 / $1,237.35 / $2,213.90	Professional		$1,237.35	$1,237.35	$2,213.90