Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,235.94	Professional		$1,659.59	$2,137.96	$3,235.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $2,398.83	Professional		$1,096.48	$1,995.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,570.88	Professional		$1,698.24	$2,187.76	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $3,630.78	Professional		$1,737.80	$1,995.26	$3,630.78
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 $1,513.56 / $2,089.30 / $3,890.45	Professional		$1,513.56	$2,089.30	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,691.53	Professional		$1,445.44	$2,041.74	$2,691.53