Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $4,677.35	Professional		$1,584.89	$1,995.26	$4,677.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $2,398.83	Professional		$1,778.28	$1,995.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $5,011.87	Professional		$1,698.24	$2,290.87	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,019.95	Professional		$1,621.81	$1,862.09	$3,019.95
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 $1,513.56 / $2,089.30 / $3,548.13	Professional		$1,513.56	$2,089.30	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $2,454.71	Professional		$1,412.54	$2,137.96	$2,454.71