Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $4,897.79	Professional		$1,659.59	$1,949.84	$4,897.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,511.89	Professional		$1,862.09	$2,089.30	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,897.79	Professional		$1,698.24	$2,511.89	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $3,311.31	Professional		$1,995.26	$2,238.72	$3,311.31
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 $1,548.82 / $2,187.76 / $3,890.45	Professional		$1,548.82	$2,187.76	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $2,951.21	Professional		$1,698.24	$2,454.71	$2,951.21