Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $2,089.30	Professional		$812.83	$1,000.00	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,174.90	Professional		$794.33	$870.96	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,089.30	Professional		$794.33	$1,071.52	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,659.59	Professional		$812.83	$912.01	$1,659.59
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 $741.31 / $1,023.29 / $1,819.70	Professional		$741.31	$1,023.29	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,258.93	Professional		$676.08	$933.25	$1,258.93