Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,412.54	Professional		$812.83	$977.24	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,071.52	Professional		$794.33	$870.96	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,089.30	Professional		$776.25	$1,071.52	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,621.81	Professional		$776.25	$891.25	$1,621.81
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 $758.58 / $1,023.29 / $1,778.28	Professional		$758.58	$1,023.29	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,230.27	Professional		$776.25	$933.25	$1,230.27