Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,570.40	Professional		$776.25	$1,000.00	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,258.93	Professional		$933.25	$1,047.13	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,344.23	Professional		$851.14	$1,230.27	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,621.81	Professional		$851.14	$977.24	$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 $776.25 / $1,096.48 / $1,819.70	Professional		$776.25	$1,096.48	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,288.25	Professional		$870.96	$1,096.48	$1,288.25