Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $891.25	Professional		$588.84	$691.83	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $776.25	Professional		$602.56	$676.08	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,258.93	Professional		$851.14	$977.24	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $645.65	Facility		$354.81	$354.81	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $691.83	Professional		$354.81	$380.19	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58