Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $311.60	Professional		$285.00	$285.00	$311.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $346.56	Professional		$304.00	$304.00	$346.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.40 / $201.40 / $201.40	Professional		$201.40	$201.40	$201.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $456.00 / $570.00	Professional		$380.00	$456.00	$570.00
United Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $159.60 / $159.60	Facility		$159.60	$159.60	$159.60
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $171.00 / $303.83	Professional		$159.60	$171.00	$303.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00