Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.75 / $445.37 / $607.60	Professional		$293.75	$445.37	$607.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.07 / $331.07 / $380.73	Professional		$331.07	$331.07	$380.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $538.38 / $949.19	Professional		$368.12	$538.38	$949.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.59 / $707.45 / $1,165.26	Professional		$597.59	$707.45	$1,165.26
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.01 / $569.13 / $1,050.18	Professional		$406.01	$569.13	$1,050.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.23 / $424.90 / $693.92	Professional		$389.23	$424.90	$693.92