Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.31 / $456.13 / $456.13	Professional		$395.31	$456.13	$456.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $486.54 / $554.66	Professional		$486.54	$486.54	$554.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $322.33 / $322.33	Professional		$322.33	$322.33	$322.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $699.40 / $912.26	Professional		$608.16	$699.40	$912.26
United Facility/Professional Facility Modifier Low / Median / High Price $255.43 / $255.43 / $255.43	Facility		$255.43	$255.43	$255.43
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $273.68 / $486.26	Professional		$255.43	$273.68	$486.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $304.08 / $304.08	Professional		$304.08	$304.08	$304.08