Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,137.96	Professional		$776.25	$1,000.00	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,000.00	Professional		$741.31	$831.76	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,995.26	Professional		$741.31	$1,047.13	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,548.82	Professional		$758.58	$851.14	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,819.70	Professional		$741.31	$1,047.13	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,174.90	Professional		$758.58	$870.96	$1,174.90