Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $616.60	Professional		$407.38	$478.63	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $537.03	Professional		$416.87	$467.74	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $870.96	Professional		$588.84	$676.08	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $446.68	Facility		$245.47	$245.47	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $478.63	Professional		$245.47	$263.03	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $467.74	Professional		$295.12	$467.74	$467.74