Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $4,073.80	Professional		$1,348.96	$1,737.80	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,041.74	Professional		$1,548.82	$1,698.24	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,981.07	Professional		$1,412.54	$2,041.74	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,754.23	Professional		$1,621.81	$1,819.70	$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 / $1,819.70 / $3,162.28	Professional		$1,258.93	$1,819.70	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,398.83	Professional		$1,412.54	$1,995.26	$2,398.83