Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $5,248.07	Professional		$1,778.28	$2,238.72	$5,248.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,691.53	Professional		$1,995.26	$2,187.76	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $5,248.07	Professional		$1,737.80	$2,570.40	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $3,548.13	Professional		$2,089.30	$2,344.23	$3,548.13
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 $1,659.59 / $2,344.23 / $4,073.80	Professional		$1,659.59	$2,344.23	$4,073.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $3,090.30	Professional		$1,737.80	$2,570.40	$3,090.30