Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $2,570.40	Professional		$691.83	$933.25	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,148.15	Professional		$891.25	$1,000.00	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,621.81	Professional		$776.25	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,862.09	Professional		$891.25	$977.24	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,621.81	Facility		$954.99	$954.99	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,778.28	Professional		$724.44	$977.24	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,348.96	Professional		$724.44	$933.25	$1,348.96