Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $3,311.31	Professional		$1,659.59	$1,995.26	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,187.76	Professional		$1,621.81	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $4,265.80	Professional		$1,584.89	$2,089.30	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $3,311.31	Professional		$1,621.81	$1,819.70	$3,311.31
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 $1,479.11 / $2,041.74 / $3,630.78	Professional		$1,479.11	$2,041.74	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,511.89	Professional		$1,412.54	$1,862.09	$2,511.89