Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,743.07 / $1,892.92 / $5,026.28	Professional		$1,743.07	$1,892.92	$5,026.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,739.29 / $1,739.29 / $2,230.00	Professional		$1,739.29	$1,739.29	$2,230.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.04 / $1,866.80 / $3,900.40	Professional		$1,459.04	$1,866.80	$3,900.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,586.75 / $2,046.91 / $3,403.68	Professional		$1,586.75	$2,046.91	$3,403.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,357.78 / $1,727.94 / $2,791.42	Professional		$1,357.78	$1,727.94	$2,791.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,248.22 / $1,248.22 / $2,232.80	Professional		$1,248.22	$1,248.22	$2,232.80