Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $4,677.35	Professional		$1,548.82	$1,905.46	$4,677.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,290.87	Professional		$1,698.24	$1,905.46	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,466.84	Professional		$1,698.24	$2,344.23	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $3,090.30	Professional		$1,584.89	$1,819.70	$3,090.30
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 $1,479.11 / $2,137.96 / $3,548.13	Professional		$1,479.11	$2,137.96	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,398.83	Professional		$1,621.81	$2,041.74	$2,398.83