Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $3,890.45	Professional		$1,412.54	$2,570.40	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,818.38	Professional		$1,659.59	$2,344.23	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $5,495.41	Professional		$1,659.59	$2,454.71	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $4,265.80	Professional		$2,089.30	$2,290.87	$4,265.80
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 $1,288.25 / $2,137.96 / $4,365.16	Professional		$1,288.25	$2,137.96	$4,365.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,311.31	Professional		$1,737.80	$2,398.83	$3,311.31