Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,445.44	Professional		$812.83	$977.24	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,071.52	Professional		$870.96	$954.99	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $630.96 / $1,949.84	Professional		$12.88	$630.96	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,778.28	Professional		$1,202.26	$1,380.38	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $912.01	Facility		$489.78	$489.78	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $524.81 / $977.24	Professional		$489.78	$524.81	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56