Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.42 / $922.51 / $922.51	Professional		$905.42	$922.51	$922.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $866.17 / $962.41 / $1,106.77	Professional		$866.17	$962.41	$1,106.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.48 / $921.12 / $1,572.67	Professional		$776.48	$921.12	$1,572.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $945.43 / $1,099.57 / $1,999.22	Professional		$945.43	$1,099.57	$1,999.22
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 $655.79 / $891.80 / $1,696.62	Professional		$655.79	$891.80	$1,696.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $999.61 / $1,087.24	Professional		$695.25	$999.61	$1,087.24