Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,174.90	Professional		$691.83	$831.76	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,288.25	Professional		$1,023.29	$1,148.15	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,511.89	Professional		$741.31	$1,047.13	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,659.59	Professional		$1,071.52	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $1,513.56	Facility		$645.65	$891.25	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,584.89	Professional		$707.95	$933.25	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $1,584.89	Professional		$741.31	$1,288.25	$1,584.89