Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $588.84	Professional		$426.58	$489.78	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $549.54	Professional		$436.52	$489.78	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
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 $257.04 / $257.04 / $457.09	Facility		$257.04	$257.04	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $489.78	Professional		$257.04	$275.42	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00