Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.70 / $742.37 / $817.31	Professional		$731.70	$742.37	$817.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $711.98 / $818.78	Professional		$665.74	$711.98	$818.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.70 / $798.70 / $1,388.64	Professional		$649.70	$798.70	$1,388.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.09 / $1,074.49 / $1,915.02	Professional		$825.09	$1,074.49	$1,915.02
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 $535.98 / $765.47 / $1,435.55	Professional		$535.98	$765.47	$1,435.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $570.10 / $806.37 / $957.88	Professional		$570.10	$806.37	$957.88