Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $361.61 / $361.61	Professional		$134.75	$361.61	$361.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $385.71 / $385.71 / $439.71	Professional		$385.71	$385.71	$439.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.53 / $255.53 / $255.53	Professional		$255.53	$255.53	$255.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $578.57 / $723.21	Professional		$482.14	$578.57	$723.21
United Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $202.50 / $202.50	Facility		$202.50	$202.50	$202.50
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $98.97 / $216.96	Professional		$87.07	$98.97	$216.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.07 / $383.50 / $383.50	Professional		$241.07	$383.50	$383.50