Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $3,548.13	Professional		$912.01	$1,230.27	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,318.26	Professional		$1,023.29	$1,122.02	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,949.84	Professional		$933.25	$1,148.15	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $2,137.96	Professional		$1,000.00	$1,122.02	$2,137.96
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 $870.96 / $1,148.15 / $2,187.76	Professional		$870.96	$1,148.15	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,548.82	Professional		$776.25	$1,071.52	$1,548.82