Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $540.00 / $540.00	Professional		$468.00	$540.00	$540.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $698.40 / $796.18	Professional		$648.00	$698.40	$796.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $381.60 / $381.60	Professional		$381.60	$381.60	$381.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $828.00 / $1,080.00	Professional		$720.00	$828.00	$1,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $324.00 / $655.19	Professional		$302.39	$324.00	$655.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $572.40 / $572.40	Professional		$360.00	$572.40	$572.40