Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $570.00 / $570.00	Professional		$494.00	$570.00	$570.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $684.00 / $779.76	Professional		$608.00	$684.00	$779.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $402.80 / $444.60	Professional		$402.80	$402.80	$444.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,140.00	Professional		$760.00	$912.00	$1,140.00
United Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $319.20 / $319.20	Facility		$319.20	$319.20	$319.20
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $342.00 / $691.58	Professional		$319.20	$342.00	$691.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $380.00	Professional		$380.00	$380.00	$380.00