Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,047.13	Professional		$512.86	$512.86	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,187.76	Professional		$1,621.81	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,348.96	Professional		$1,096.48	$1,202.26	$1,348.96
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 $616.60 / $616.60 / $1,096.48	Professional		$616.60	$616.60	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83