Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.23 / $956.92 / $956.92	Professional		$884.23	$956.92	$956.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $904.62 / $918.51 / $1,090.93	Professional		$904.62	$918.51	$1,090.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.97 / $988.49 / $1,613.04	Professional		$808.97	$988.49	$1,613.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.95 / $1,141.55 / $2,075.54	Professional		$982.95	$1,141.55	$2,075.54
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 $694.70 / $922.40 / $1,735.34	Professional		$694.70	$922.40	$1,735.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $712.59 / $1,037.77 / $1,130.39	Professional		$712.59	$1,037.77	$1,130.39