Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,630.27	Professional		$891.25	$1,122.02	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,380.38	Professional		$812.83	$1,148.15	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,630.27	Professional		$891.25	$1,348.96	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,819.70	Professional		$1,096.48	$1,258.93	$1,819.70
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 $831.76 / $1,148.15 / $2,089.30	Professional		$831.76	$1,148.15	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,621.81	Professional		$891.25	$1,380.38	$1,621.81