Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $4,365.16	Professional		$1,445.44	$1,778.28	$4,365.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,137.96	Professional		$1,548.82	$1,778.28	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,168.69	Professional		$1,548.82	$2,187.76	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,884.03	Professional		$1,513.56	$1,737.80	$2,884.03
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 $1,348.96 / $1,995.26 / $3,235.94	Professional		$1,348.96	$1,995.26	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,290.87	Professional		$1,479.11	$1,949.84	$2,290.87