Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,884.03	Professional		$870.96	$1,047.13	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,258.93	Professional		$794.33	$1,047.13	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,630.27	Professional		$891.25	$1,230.27	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,584.89	Professional		$870.96	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,862.09	Professional		$794.33	$1,096.48	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,318.26	Professional		$741.31	$1,122.02	$1,318.26