Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,951.21	Professional		$891.25	$1,071.52	$2,951.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,288.25	Professional		$954.99	$1,071.52	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,691.53	Professional		$933.25	$1,258.93	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,621.81	Professional		$891.25	$1,023.29	$1,621.81
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 $812.83 / $1,148.15 / $1,905.46	Professional		$812.83	$1,148.15	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,348.96	Professional		$776.25	$1,148.15	$1,348.96