Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $1,775.00 / $2,028.83	Professional		$1,775.00	$1,775.00	$2,028.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $1,422.23 / $1,514.32	Professional		$420.00	$1,422.23	$1,514.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,831.00 / $3,120.00 / $3,451.00	Professional		$2,831.00	$3,120.00	$3,451.00
United Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
United Facility/Professional Professional Modifier Low / Median / High Price $847.45 / $1,108.83 / $1,935.02	Professional		$847.45	$1,108.83	$1,935.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $219.00 / $219.00	Professional		$219.00	$219.00	$219.00