Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.48 / $749.29 / $909.30	Professional		$737.48	$749.29	$909.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $814.98 / $814.98 / $937.23	Professional		$814.98	$814.98	$937.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.23 / $875.85 / $1,508.66	Professional		$704.23	$875.85	$1,508.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.34 / $1,160.18 / $2,007.75	Professional		$917.34	$1,160.18	$2,007.75
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 $676.97 / $888.62 / $1,671.78	Professional		$676.97	$888.62	$1,671.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $710.26 / $815.77 / $1,064.30	Professional		$710.26	$815.77	$1,064.30