Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,511.89 / $3,715.35	Professional		$323.59	$2,511.89	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $2,818.38	Professional		$2,238.72	$2,511.89	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $5,495.41	Professional		$1,698.24	$2,238.72	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $4,677.35	Professional		$3,090.30	$3,715.35	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,344.23	Facility		$1,318.26	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $2,511.89	Professional		$1,318.26	$1,412.54	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $2,454.71	Professional		$1,548.82	$2,454.71	$2,454.71