Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,230.27	Professional		$630.96	$912.01	$1,230.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,230.27 / $1,230.27	Professional		$125.89	$1,230.27	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,137.96	Professional		$1,318.26	$1,621.81	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $407.38 / $870.96	Facility		$56.23	$407.38	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,258.93	Professional		$549.54	$891.25	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56