Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,691.53	Professional		$851.14	$1,096.48	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,288.25	Professional		$870.96	$1,071.52	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,398.83	Professional		$891.25	$1,258.93	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,659.59	Professional		$977.24	$1,122.02	$1,659.59
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 $794.33 / $1,122.02 / $1,905.46	Professional		$794.33	$1,122.02	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,445.44	Professional		$758.58	$1,230.27	$1,445.44