Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.80 / $1,432.77 / $2,396.84	Professional		$905.80	$1,432.77	$2,396.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $986.24 / $986.24 / $1,134.18	Professional		$986.24	$986.24	$1,134.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.42 / $1,347.44 / $2,397.41	Professional		$866.42	$1,347.44	$2,397.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,414.91 / $1,790.19 / $3,445.45	Professional		$1,414.91	$1,790.19	$3,445.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,028.00 / $1,028.00	Facility		$1,028.00	$1,028.00	$1,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,240.04 / $1,613.01 / $3,031.11	Professional		$1,240.04	$1,613.01	$3,031.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $998.25 / $1,369.01 / $1,669.02	Professional		$998.25	$1,369.01	$1,669.02