Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.79 / $634.97 / $689.24	Professional		$548.79	$634.97	$689.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $638.45 / $673.36 / $740.70	Professional		$638.45	$673.36	$740.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,165.23 / $2,606.98 / $3,123.47	Professional		$2,165.23	$2,606.98	$3,123.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.80 / $853.72 / $1,116.82	Professional		$661.80	$853.72	$1,116.82
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.52 / $697.31 / $1,348.07	Professional		$481.52	$697.31	$1,348.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $585.83 / $761.07 / $934.52	Professional		$585.83	$761.07	$934.52