Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $3,311.31	Professional		$1,698.24	$2,137.96	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,344.23	Professional		$1,737.80	$1,949.84	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,570.88	Professional		$1,698.24	$2,238.72	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $3,548.13	Professional		$1,698.24	$1,905.46	$3,548.13
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 $1,584.89 / $2,137.96 / $3,890.45	Professional		$1,584.89	$2,137.96	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,691.53	Professional		$1,479.11	$1,995.26	$2,691.53