Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $555.00 / $562.50	Professional		$495.00	$555.00	$562.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $675.00 / $918.00	Professional		$607.50	$675.00	$918.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $861.93 / $1,077.41	Professional		$861.93	$861.93	$1,077.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $937.50 / $1,125.00	Professional		$750.00	$937.50	$1,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $375.00 / $682.49	Professional		$315.00	$375.00	$682.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $336.26 / $420.33	Professional		$327.85	$336.26	$420.33