Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $2,344.23	Professional		$758.58	$870.96	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,230.27	Professional		$831.76	$912.01	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $2,344.23	Professional		$758.58	$1,047.13	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,380.38	Professional		$758.58	$870.96	$1,380.38
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 $660.69 / $954.99 / $1,584.89	Professional		$660.69	$954.99	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,148.15	Professional		$630.96	$977.24	$1,148.15