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 / $402.80	Professional		$402.80	$402.80	$402.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,326.96	Professional		$760.00	$912.00	$1,326.96
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 / $684.00	Professional		$319.20	$342.00	$684.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $380.00	Professional		$380.00	$380.00	$380.00