Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $4,570.88	Professional		$1,513.56	$1,905.46	$4,570.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $2,290.87	Professional		$1,659.59	$1,905.46	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $4,466.84	Professional		$1,584.89	$2,238.72	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $3,019.95	Professional		$1,819.70	$2,041.74	$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 $1,412.54 / $1,995.26 / $3,467.37	Professional		$1,412.54	$1,995.26	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,691.53	Professional		$1,548.82	$2,238.72	$2,691.53