Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,949.84	Professional		$588.84	$794.33	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $977.24	Professional		$549.54	$812.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,819.70	Professional		$660.69	$933.25	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,258.93	Professional		$645.65	$758.58	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,412.54	Professional		$602.56	$831.76	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,000.00	Professional		$660.69	$851.14	$1,000.00