Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $3,090.30	Professional		$977.24	$1,202.26	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,380.38	Professional		$933.25	$1,023.29	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,511.89	Professional		$933.25	$1,230.27	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,949.84	Professional		$954.99	$1,071.52	$1,949.84
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 $870.96 / $1,202.26 / $2,137.96	Professional		$870.96	$1,202.26	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,479.11	Professional		$812.83	$1,096.48	$1,479.11