Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $1,862.09 / $2,398.83	Facility		$25.70	$1,862.09	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,041.74	Professional		$1,659.59	$1,737.80	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $2,041.74	Professional		$1,621.81	$1,737.80	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $2,041.74	Facility		$1,698.24	$1,949.84	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,041.74	Professional		$1,698.24	$1,698.24	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34