Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,801.89	Professional		$1,412.54	$1,778.28	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,290.87	Professional		$1,479.11	$1,905.46	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $4,073.80	Professional		$1,380.38	$2,089.30	$4,073.80
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 $1,258.93 / $1,862.09 / $3,467.37	Professional		$1,258.93	$1,862.09	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $2,691.53	Professional		$1,288.25	$2,238.72	$2,691.53