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 / $1,659.59	Professional		$912.01	$1,148.15	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,348.96	Professional		$1,023.29	$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 $870.96 / $977.24 / $1,412.54	Professional		$870.96	$977.24	$1,412.54
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 $851.14 / $1,148.15 / $2,137.96	Professional		$851.14	$1,148.15	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,479.11	Professional		$851.14	$1,023.29	$1,479.11