Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $851.14	Professional		$562.34	$645.65	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $707.95	Professional		$575.44	$630.96	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,202.26	Professional		$794.33	$912.01	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $602.56	Facility		$331.13	$331.13	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $645.65	Professional		$331.13	$354.81	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $630.96	Professional		$398.11	$630.96	$630.96