Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $5,495.41	Professional		$1,698.24	$2,137.96	$5,495.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,570.40	Professional		$1,659.59	$2,089.30	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $5,011.87	Professional		$1,737.80	$2,511.89	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $3,981.07	Professional		$1,995.26	$2,238.72	$3,981.07
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 $1,584.89 / $2,238.72 / $3,890.45	Professional		$1,584.89	$2,238.72	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $2,951.21	Professional		$1,737.80	$2,454.71	$2,951.21