Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,685.68 / $1,835.70 / $2,383.28	Professional		$1,685.68	$1,835.70	$2,383.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,578.99 / $1,754.43 / $2,228.13	Professional		$1,578.99	$1,754.43	$2,228.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.28 / $1,885.99 / $3,779.34	Professional		$1,407.28	$1,885.99	$3,779.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,543.47 / $1,991.08 / $3,273.92	Professional		$1,543.47	$1,991.08	$3,273.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.08 / $1,798.23 / $3,095.52	Professional		$1,370.08	$1,798.23	$3,095.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,294.38 / $1,294.38 / $2,162.64	Professional		$1,294.38	$1,294.38	$2,162.64