Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $4,265.80	Professional		$1,445.44	$2,691.53	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $2,884.03	Professional		$1,621.81	$2,398.83	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $5,623.41	Professional		$1,698.24	$2,511.89	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $4,365.16	Professional		$2,137.96	$2,344.23	$4,365.16
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 $1,348.96 / $2,187.76 / $4,466.84	Professional		$1,348.96	$2,187.76	$4,466.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,311.31	Professional		$1,737.80	$2,454.71	$3,311.31