Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $4,265.80	Professional		$1,445.44	$1,819.70	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,187.76	Professional		$1,621.81	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,570.88	Professional		$1,548.82	$2,089.30	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,754.23	Professional		$1,513.56	$1,737.80	$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 $1,380.38 / $1,905.46 / $3,235.94	Professional		$1,380.38	$1,905.46	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,238.72	Professional		$1,318.26	$1,949.84	$2,238.72