Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.43 / $937.61 / $937.61	Professional		$867.43	$937.61	$937.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $809.71 / $899.68 / $1,034.63	Professional		$809.71	$899.68	$1,034.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.63 / $995.30 / $1,601.34	Professional		$793.63	$995.30	$1,601.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.06 / $1,119.31 / $2,035.10	Professional		$964.06	$1,119.31	$2,035.10
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 $662.74 / $881.88 / $1,637.96	Professional		$662.74	$881.88	$1,637.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $719.01 / $1,017.55 / $1,108.67	Professional		$719.01	$1,017.55	$1,108.67