Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $4,365.16	Professional		$1,698.24	$2,089.30	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,454.71	Professional		$1,819.70	$1,995.26	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,365.16	Professional		$1,659.59	$2,187.76	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $3,467.37	Professional		$1,698.24	$1,905.46	$3,467.37
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 $1,548.82 / $2,089.30 / $3,801.89	Professional		$1,548.82	$2,089.30	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,630.27	Professional		$1,479.11	$1,949.84	$2,630.27