Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,630.27	Professional		$851.14	$1,096.48	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,348.96	Professional		$1,000.00	$1,096.48	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,630.27	Professional		$912.01	$1,288.25	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,778.28	Professional		$1,071.52	$1,202.26	$1,778.28
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 $812.83 / $1,122.02 / $2,041.74	Professional		$812.83	$1,122.02	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,584.89	Professional		$891.25	$1,318.26	$1,584.89