Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,754.23	Professional		$2,137.96	$2,344.23	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,630.27	Professional		$2,089.30	$2,344.23	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $4,365.16	Professional		$2,884.03	$3,388.44	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,238.72	Facility		$1,230.27	$1,230.27	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $2,344.23	Professional		$1,230.27	$1,318.26	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44