Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $4,073.80	Professional		$2,137.96	$2,630.27	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $3,019.95	Professional		$2,238.72	$2,454.71	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $5,623.41	Professional		$1,995.26	$2,754.23	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $4,265.80	Professional		$2,089.30	$2,344.23	$4,265.80
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 $1,949.84 / $2,630.27 / $4,786.30	Professional		$1,949.84	$2,630.27	$4,786.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,311.31	Professional		$1,819.70	$2,398.83	$3,311.31