Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.11 / $959.70 / $959.70	Professional		$892.11	$959.70	$959.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $902.95 / $995.17 / $1,144.45	Professional		$902.95	$995.17	$1,144.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.73 / $994.83 / $1,628.85	Professional		$815.73	$994.83	$1,628.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.53 / $1,158.25 / $2,100.65	Professional		$996.53	$1,158.25	$2,100.65
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 $720.38 / $939.54 / $1,746.94	Professional		$720.38	$939.54	$1,746.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $719.60 / $1,052.95 / $1,146.01	Professional		$719.60	$1,052.95	$1,146.01