Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,202.26	Professional		$630.96	$831.76	$1,202.26
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 $123.03 / $1,230.27 / $1,230.27	Professional		$123.03	$1,230.27	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,137.96	Professional		$1,318.26	$1,584.89	$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 $537.03 / $891.25 / $1,258.93	Professional		$537.03	$891.25	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,380.38	Professional		$1,047.13	$1,047.13	$1,380.38