Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,137.96	Professional		$1,584.89	$1,778.28	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,174.90 / $1,513.56	Professional		$416.87	$1,174.90	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,467.37	Professional		$2,818.38	$3,090.30	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,949.84	Professional		$831.76	$1,174.90	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78