Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.84 / $769.22 / $902.80	Professional		$757.84	$769.22	$902.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $805.87 / $805.87 / $926.75	Professional		$805.87	$805.87	$926.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.42 / $885.07 / $1,489.68	Professional		$708.42	$885.07	$1,489.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.71 / $1,168.56 / $1,991.09	Professional		$901.71	$1,168.56	$1,991.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,028.00 / $1,028.00	Facility		$1,028.00	$1,028.00	$1,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.04 / $891.67 / $1,647.26	Professional		$675.04	$891.67	$1,647.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.96 / $833.20 / $1,041.74	Professional		$666.96	$833.20	$1,041.74