Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.51 / $965.85 / $965.85	Professional		$910.51	$965.85	$965.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $890.87 / $931.41 / $1,071.11	Professional		$890.87	$931.41	$1,071.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.66 / $1,008.55 / $1,666.83	Professional		$832.66	$1,008.55	$1,666.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,034.14 / $1,198.59 / $2,139.88	Professional		$1,034.14	$1,198.59	$2,139.88
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 $718.73 / $957.87 / $1,805.07	Professional		$718.73	$957.87	$1,805.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $747.71 / $1,089.64 / $1,189.26	Professional		$747.71	$1,089.64	$1,189.26