Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,621.81	Professional		$870.96	$1,096.48	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,202.26	Professional		$758.58	$1,000.00	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,238.72	Professional		$831.76	$1,174.90	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,778.28	Professional		$870.96	$977.24	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,949.84	Professional		$776.25	$1,071.52	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,348.96	Professional		$724.44	$1,000.00	$1,348.96