Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $2,290.87	Professional		$691.83	$891.25	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,230.27	Professional		$954.99	$1,047.13	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,621.81	Professional		$776.25	$977.24	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,862.09	Professional		$912.01	$1,023.29	$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 / $1,000.00 / $1,778.28	Professional		$724.44	$1,000.00	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,412.54	Professional		$724.44	$954.99	$1,412.54