Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,398.83 / $2,818.38	Professional		$977.24	$2,398.83	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,548.13	Professional		$2,691.53	$2,951.21	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $4,897.79	Professional		$1,819.70	$2,630.27	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,801.89	Professional		$1,819.70	$2,089.30	$3,801.89
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 $1,318.26 / $2,041.74 / $4,365.16	Professional		$1,318.26	$2,041.74	$4,365.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80