Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $223.87	Professional		$151.36	$190.55	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,238.72	Professional		$1,659.59	$1,819.70	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,778.28 / $2,344.23	Professional		$354.81	$1,778.28	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $478.63	Professional		$165.96	$245.47	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,570.40	Professional		$1,621.81	$2,187.76	$2,570.40