Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $5,128.61	Professional		$1,659.59	$2,041.74	$5,128.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,630.27	Professional		$1,949.84	$2,187.76	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $4,786.30	Professional		$1,698.24	$2,570.40	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $3,548.13	Professional		$2,041.74	$2,290.87	$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 $1,621.81 / $2,238.72 / $3,981.07	Professional		$1,621.81	$2,238.72	$3,981.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,019.95	Professional		$1,698.24	$2,570.40	$3,019.95