Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $3,801.89	Professional		$1,548.82	$1,862.09	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $2,137.96	Professional		$1,548.82	$1,737.80	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,981.07	Professional		$1,479.11	$2,041.74	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $3,090.30	Professional		$1,513.56	$1,698.24	$3,090.30
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 $1,380.38 / $1,949.84 / $3,388.44	Professional		$1,380.38	$1,949.84	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,344.23	Professional		$1,348.96	$1,737.80	$2,344.23