Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.42 / $952.69 / $2,452.62	Professional		$810.42	$952.69	$2,452.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $999.86 / $999.86 / $1,175.93	Professional		$999.86	$999.86	$1,175.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,171.37 / $3,818.41 / $4,574.89	Professional		$3,171.37	$3,818.41	$4,574.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.29 / $1,255.16 / $1,637.54	Professional		$972.29	$1,255.16	$1,637.54
United Facility/Professional Facility Modifier Low / Median / High Price $774.00 / $872.22 / $14,287.46	Facility		$774.00	$872.22	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $708.68 / $997.88 / $1,759.91	Professional		$708.68	$997.88	$1,759.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $847.44 / $1,118.94 / $1,373.91	Professional		$847.44	$1,118.94	$1,373.91