Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,951.21	Professional		$1,584.89	$1,949.84	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,137.96	Professional		$1,621.81	$1,778.28	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $4,073.80	Professional		$1,513.56	$2,041.74	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $3,235.94	Professional		$1,584.89	$1,778.28	$3,235.94
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 $1,445.44 / $1,995.26 / $3,548.13	Professional		$1,445.44	$1,995.26	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,454.71	Professional		$1,318.26	$1,819.70	$2,454.71