Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.72 / $707.28 / $816.20	Professional		$685.72	$707.28	$816.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $743.74 / $796.14 / $915.56	Professional		$743.74	$796.14	$915.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.46 / $842.70 / $1,365.98	Professional		$658.46	$842.70	$1,365.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $841.37 / $1,091.43 / $1,831.72	Professional		$841.37	$1,091.43	$1,831.72
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.43 / $815.02 / $1,522.82	Professional		$659.43	$815.02	$1,522.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $636.05 / $765.65 / $972.98	Professional		$636.05	$765.65	$972.98