Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $4,168.69	Professional		$1,380.38	$1,778.28	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,089.30	Professional		$1,348.96	$1,737.80	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,073.80	Professional		$1,445.44	$2,089.30	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,818.38	Professional		$1,659.59	$1,862.09	$2,818.38
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 $1,318.26 / $1,862.09 / $3,235.94	Professional		$1,318.26	$1,862.09	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,454.71	Professional		$1,412.54	$2,041.74	$2,454.71