Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,445.44	Professional		$776.25	$1,174.90	$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 $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
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 $467.74 / $724.44 / $1,318.26	Facility		$467.74	$724.44	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $1,023.29	Professional		$467.74	$501.19	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $891.25 / $891.25	Professional		$870.96	$891.25	$891.25