Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,951.21	Professional		$776.25	$1,023.29	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,412.54	Professional		$1,000.00	$1,122.02	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,737.80	Professional		$870.96	$1,096.48	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $2,041.74	Professional		$1,023.29	$1,122.02	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,238.72	Facility		$1,023.29	$1,023.29	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,949.84	Professional		$758.58	$1,071.52	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,548.82	Professional		$794.33	$1,071.52	$1,548.82