Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,584.89	Professional		$870.96	$1,071.52	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,258.93	Professional		$794.33	$1,047.13	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,290.87	Professional		$851.14	$1,122.02	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,819.70	Professional		$933.25	$1,047.13	$1,819.70
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 / $1,047.13 / $1,949.84	Professional		$758.58	$1,047.13	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,380.38	Professional		$724.44	$1,071.52	$1,380.38