Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.33 / $649.51 / $723.72	Professional		$646.33	$649.51	$723.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $643.11 / $673.24 / $774.23	Professional		$643.11	$673.24	$774.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.16 / $752.12 / $1,217.14	Professional		$587.16	$752.12	$1,217.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.86 / $956.63 / $1,685.56	Professional		$728.86	$956.63	$1,685.56
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 $538.57 / $732.35 / $1,273.65	Professional		$538.57	$732.35	$1,273.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $546.96 / $703.99 / $852.81	Professional		$546.96	$703.99	$852.81