Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,344.23	Professional		$891.25	$1,174.90	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,479.11	Professional		$933.25	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $2,754.23	Professional		$812.83	$1,348.96	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,862.09	Professional		$1,122.02	$1,258.93	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,089.30	Professional		$776.25	$1,174.90	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $1,659.59	Professional		$794.33	$1,412.54	$1,659.59