Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,662.62 / $1,728.24 / $8,623.17	Professional		$1,662.62	$1,728.24	$8,623.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,879.50 / $1,880.76 / $2,149.71	Professional		$1,879.50	$1,880.76	$2,149.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.03 / $2,196.76 / $5,069.25	Professional		$1,561.03	$2,196.76	$5,069.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,677.06 / $2,230.48 / $3,571.41	Professional		$1,677.06	$2,230.48	$3,571.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $2,000.70 / $3,295.31	Professional		$1,429.07	$2,000.70	$3,295.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,317.69 / $1,928.62 / $2,399.36	Professional		$1,317.69	$1,928.62	$2,399.36