Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,405.73 / $2,662.68 / $2,948.67	Professional		$2,405.73	$2,662.68	$2,948.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,840.00 / $2,470.71 / $2,824.02	Professional		$1,840.00	$2,470.71	$2,824.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.73 / $2,351.87 / $5,492.83	Professional		$1,870.73	$2,351.87	$5,492.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,224.98 / $2,870.24 / $4,756.64	Professional		$2,224.98	$2,870.24	$4,756.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.78 / $2,260.10 / $4,107.52	Professional		$1,276.78	$2,260.10	$4,107.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,721.29 / $1,721.29 / $3,117.62	Professional		$1,721.29	$1,721.29	$3,117.62