Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.48 / $925.53 / $1,003.81	Professional		$796.48	$925.53	$1,003.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $962.14 / $1,027.67 / $1,130.44	Professional		$962.14	$1,027.67	$1,130.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,091.30 / $3,722.02 / $4,459.39	Professional		$3,091.30	$3,722.02	$4,459.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $948.69 / $1,226.83 / $1,597.79	Professional		$948.69	$1,226.83	$1,597.79
United Facility/Professional Facility Modifier Low / Median / High Price $851.88 / $918.00 / $2,156.00	Facility		$851.88	$918.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.60 / $996.28 / $2,045.18	Professional		$704.60	$996.28	$2,045.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $863.50 / $1,093.68 / $1,342.77	Professional		$863.50	$1,093.68	$1,342.77