Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.77 / $2,220.07 / $5,302.99	Professional		$1,634.77	$2,220.07	$5,302.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,157.85 / $2,357.51 / $3,650.00	Professional		$2,157.85	$2,357.51	$3,650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.09 / $2,231.08 / $4,584.41	Professional		$1,703.09	$2,231.08	$4,584.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.98 / $2,403.23 / $3,987.51	Professional		$1,862.98	$2,403.23	$3,987.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,490.19 / $2,110.80 / $3,701.07	Professional		$1,490.19	$2,110.80	$3,701.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,550.54 / $1,550.54 / $2,612.77	Professional		$1,550.54	$1,550.54	$2,612.77