Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $4,168.69	Professional		$1,445.44	$1,778.28	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,187.76	Professional		$1,202.26	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $4,466.84	Professional		$1,412.54	$1,995.26	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,754.23	Professional		$1,584.89	$1,778.28	$2,754.23
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 $1,258.93 / $1,778.28 / $3,235.94	Professional		$1,258.93	$1,778.28	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $2,344.23	Professional		$1,174.90	$1,995.26	$2,344.23