Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.75 / $596.25 / $596.25	Professional		$516.75	$596.25	$596.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $636.00 / $636.00 / $725.04	Professional		$636.00	$636.00	$725.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.35 / $421.35 / $421.35	Professional		$421.35	$421.35	$421.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $914.25 / $1,192.50	Professional		$795.00	$914.25	$1,192.50
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $357.75 / $635.63	Professional		$333.90	$357.75	$635.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $632.03 / $632.03	Professional		$397.50	$632.03	$632.03