Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.96 / $703.99 / $943.88	Professional		$658.96	$703.99	$943.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $822.69 / $914.10 / $1,106.06	Professional		$822.69	$914.10	$1,106.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.72 / $1,059.13 / $2,315.85	Professional		$660.72	$1,059.13	$2,315.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.51 / $870.48 / $1,187.02	Professional		$593.51	$870.48	$1,187.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,248.15 / $1,248.15 / $1,248.15	Facility		$1,248.15	$1,248.15	$1,248.15
United Facility/Professional Professional Modifier Low / Median / High Price $586.67 / $881.69 / $1,578.90	Professional		$586.67	$881.69	$1,578.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.65 / $660.65 / $660.65	Professional		$660.65	$660.65	$660.65