Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $948.58 / $948.58	Professional		$881.72	$948.58	$948.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $785.78 / $858.91 / $997.80	Professional		$785.78	$858.91	$997.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.86 / $1,027.11 / $1,627.06	Professional		$806.86	$1,027.11	$1,627.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.87 / $1,126.84 / $2,064.42	Professional		$979.87	$1,126.84	$2,064.42
United Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $722.24 / $967.03 / $1,916.30	Professional		$722.24	$967.03	$1,916.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $731.64 / $1,032.21 / $1,126.84	Professional		$731.64	$1,032.21	$1,126.84