Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $575.44 / $1,819.70	Professional		$109.65	$575.44	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $190.55	Professional		$141.25	$158.49	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $562.34 / $1,412.54	Professional		$138.04	$562.34	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,380.38	Professional		$562.34	$741.31	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $407.38 / $1,348.96	Professional		$120.23	$407.38	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,000.00	Professional		$630.96	$831.76	$1,000.00