Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $724.44	Professional		$398.11	$512.86	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $602.56	Professional		$446.68	$489.78	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,096.48	Professional		$398.11	$537.03	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $794.33	Professional		$380.19	$436.52	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $933.25	Professional		$371.54	$501.19	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $645.65	Professional		$371.54	$457.09	$645.65