Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $570.00 / $570.00	Professional		$494.00	$570.00	$570.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $693.12	Professional		$608.00	$608.00	$693.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $402.80 / $402.80	Professional		$402.80	$402.80	$402.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $874.00 / $1,140.00	Professional		$760.00	$874.00	$1,140.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $342.00 / $668.80	Professional		$319.20	$342.00	$668.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $380.00	Professional		$380.00	$380.00	$380.00