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 / $1,905.46	Professional		$912.01	$1,148.15	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,258.93	Professional		$933.25	$1,047.13	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,398.83	Professional		$891.25	$1,288.25	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,862.09	Professional		$912.01	$1,023.29	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,041.74	Professional		$812.83	$1,122.02	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,412.54	Professional		$776.25	$1,047.13	$1,412.54