Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $4,786.30	Professional		$1,819.70	$2,238.72	$4,786.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,630.27	Professional		$1,949.84	$2,187.76	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,786.30	Professional		$1,778.28	$2,344.23	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $3,715.35	Professional		$1,819.70	$2,041.74	$3,715.35
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 $1,659.59 / $2,238.72 / $4,073.80	Professional		$1,659.59	$2,238.72	$4,073.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,818.38	Professional		$1,548.82	$2,089.30	$2,818.38