Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,884.03	Professional		$912.01	$1,148.15	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,380.38	Professional		$1,023.29	$1,122.02	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,570.40	Professional		$954.99	$1,318.26	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,737.80	Professional		$1,023.29	$1,174.90	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,041.74	Professional		$831.76	$1,202.26	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $1,548.82	Professional		$812.83	$1,318.26	$1,548.82