Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $3,162.28	Professional		$851.14	$1,122.02	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,230.27	Professional		$954.99	$1,047.13	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,778.28	Professional		$870.96	$1,023.29	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,995.26	Professional		$954.99	$1,047.13	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,884.03	Facility		$1,230.27	$1,230.27	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,949.84	Professional		$741.31	$1,023.29	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,445.44	Professional		$724.44	$1,000.00	$1,445.44