Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,570.40	Professional		$1,000.00	$1,230.27	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,584.89	Professional		$1,071.52	$1,202.26	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,570.40	Professional		$954.99	$1,318.26	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,995.26	Professional		$977.24	$1,122.02	$1,995.26
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 $891.25 / $1,258.93 / $2,238.72	Professional		$891.25	$1,258.93	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,513.56	Professional		$891.25	$1,148.15	$1,513.56