Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,388.44	Professional		$1,584.89	$1,995.26	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,238.72	Professional		$1,584.89	$1,778.28	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $4,073.80	Professional		$1,513.56	$2,089.30	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $3,162.28	Professional		$1,584.89	$1,778.28	$3,162.28
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 $1,445.44 / $1,819.70 / $2,398.83	Professional		$1,445.44	$1,819.70	$2,398.83