Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,884.03	Professional		$1,548.82	$1,905.46	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,041.74	Professional		$1,548.82	$1,698.24	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,981.07	Professional		$1,479.11	$1,995.26	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $3,090.30	Professional		$1,548.82	$1,737.80	$3,090.30
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 $1,412.54 / $1,905.46 / $3,467.37	Professional		$1,412.54	$1,905.46	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,398.83	Professional		$1,318.26	$1,778.28	$2,398.83