Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,445.44	Professional		$812.83	$1,230.27	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,548.82	Professional		$1,258.93	$1,380.38	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,630.27	Professional		$1,737.80	$1,995.26	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $1,318.26	Facility		$489.78	$724.44	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $524.81 / $1,071.52	Professional		$489.78	$524.81	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $933.25	Professional		$870.96	$933.25	$933.25