Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,995.26	Professional		$602.56	$776.25	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $977.24	Professional		$724.44	$812.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,862.09	Professional		$660.69	$954.99	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,258.93	Professional		$660.69	$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 $616.60 / $831.76 / $1,412.54	Professional		$616.60	$831.76	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,000.00	Professional		$676.08	$851.14	$1,000.00