Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.41 / $799.49 / $926.81	Professional		$638.41	$799.49	$926.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $780.53 / $780.53 / $964.45	Professional		$780.53	$780.53	$964.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,058.71 / $1,058.71	Professional		$1,058.71	$1,058.71	$1,058.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.32 / $696.12 / $907.98	Professional		$605.32	$696.12	$907.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.15 / $703.05 / $1,168.15	Professional		$587.15	$703.05	$1,168.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $557.32 / $635.13 / $696.12	Professional		$557.32	$635.13	$696.12