Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,813.14 / $1,973.58 / $3,381.19	Professional		$1,813.14	$1,973.58	$3,381.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,821.24 / $1,939.12 / $2,238.92	Professional		$1,821.24	$1,939.12	$2,238.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.86 / $2,077.61 / $4,066.62	Professional		$1,513.86	$2,077.61	$4,066.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,661.24 / $2,143.00 / $3,518.92	Professional		$1,661.24	$2,143.00	$3,518.92
United Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,444.22 / $1,974.35 / $2,948.90	Professional		$1,444.22	$1,974.35	$2,948.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,440.43 / $1,440.43 / $2,327.00	Professional		$1,440.43	$1,440.43	$2,327.00