Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $630.96	Professional		$416.87	$489.78	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $549.54	Professional		$436.52	$478.63	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $912.01	Professional		$602.56	$691.83	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $457.09	Facility		$251.19	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $489.78	Professional		$251.19	$269.15	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $478.63	Professional		$302.00	$478.63	$478.63