Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,659.59	Professional		$891.25	$1,148.15	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,348.96	Professional		$1,000.00	$1,122.02	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,454.71	Professional		$912.01	$1,230.27	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,949.84	Professional		$912.01	$1,047.13	$1,949.84
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 $870.96 / $1,174.90 / $2,089.30	Professional		$870.96	$1,174.90	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,445.44	Professional		$851.14	$1,096.48	$1,445.44