Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $2,089.30	Professional		$616.60	$794.33	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $891.25	Professional		$660.69	$741.31	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,995.26	Professional		$676.08	$891.25	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,174.90	Professional		$660.69	$758.58	$1,174.90
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 $575.44 / $812.83 / $1,380.38	Professional		$575.44	$812.83	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,000.00	Professional		$575.44	$851.14	$1,000.00