Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.91 / $2,042.63 / $2,276.09	Professional		$1,882.91	$2,042.63	$2,276.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,742.14 / $1,935.71 / $2,458.35	Professional		$1,742.14	$1,935.71	$2,458.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.44 / $2,099.23 / $4,209.05	Professional		$1,565.44	$2,099.23	$4,209.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,717.48 / $2,215.55 / $3,647.66	Professional		$1,717.48	$2,215.55	$3,647.66
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 $1,549.44 / $2,028.95 / $3,897.69	Professional		$1,549.44	$2,028.95	$3,897.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,443.19 / $1,443.19 / $2,406.09	Professional		$1,443.19	$1,443.19	$2,406.09