Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.41 / $421.78 / $527.61	Professional		$347.41	$421.78	$527.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $336.55 / $427.42	Professional		$305.27	$336.55	$427.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.19 / $485.22 / $793.70	Professional		$331.19	$485.22	$793.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.03 / $650.04 / $1,183.44	Professional		$525.03	$650.04	$1,183.44
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 $365.62 / $486.66 / $908.90	Professional		$365.62	$486.66	$908.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.00 / $380.68 / $609.55	Professional		$356.00	$380.68	$609.55