Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,000.00	Professional		$660.69	$776.25	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $851.14	Professional		$691.83	$758.58	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $549.54	Professional		$501.19	$501.19	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,412.54	Professional		$954.99	$1,096.48	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $724.44	Facility		$398.11	$398.11	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $776.25	Professional		$398.11	$426.58	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63