Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,445.44	Professional		$870.96	$1,047.13	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,202.26	Professional		$933.25	$1,047.13	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,862.09	Professional		$1,513.56	$1,513.56	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,949.84	Professional		$1,230.27	$1,380.38	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $616.60 / $1,318.26	Facility		$549.54	$616.60	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $1,258.93	Professional		$549.54	$616.60	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,949.84	Professional		$630.96	$812.83	$1,949.84