Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,311.31	Professional		$1,698.24	$2,290.87	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $2,691.53	Professional		$1,995.26	$2,238.72	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $5,011.87	Professional		$1,778.28	$2,398.83	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,890.45	Professional		$1,819.70	$2,089.30	$3,890.45
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 $1,819.70 / $2,454.71 / $4,168.69	Professional		$1,819.70	$2,454.71	$4,168.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,884.03	Professional		$1,584.89	$2,187.76	$2,884.03