Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $794.33	Professional		$524.81	$602.56	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $676.08	Professional		$537.03	$602.56	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,122.02	Professional		$741.31	$851.14	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $562.34	Facility		$316.23	$316.23	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $602.56	Professional		$316.23	$338.84	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54