Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,105.50 / $2,301.75 / $4,834.92	Professional		$2,105.50	$2,301.75	$4,834.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,225.00 / $2,476.33 / $2,830.45	Professional		$2,225.00	$2,476.33	$2,830.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,765.13 / $2,366.59 / $4,741.62	Professional		$1,765.13	$2,366.59	$4,741.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,937.16 / $2,498.94 / $4,103.52	Professional		$1,937.16	$2,498.94	$4,103.52
United Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,663.04 / $2,320.33 / $3,887.97	Professional		$1,663.04	$2,320.33	$3,887.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,538.12 / $1,538.12 / $2,713.46	Professional		$1,538.12	$1,538.12	$2,713.46