Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $593.51 / $897.25	Professional		$161.83	$593.51	$897.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $176.33 / $213.36	Professional		$175.85	$176.33	$213.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.53 / $403.87 / $1,138.58	Professional		$160.53	$403.87	$1,138.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.46 / $611.40 / $1,094.14	Professional		$355.46	$611.40	$1,094.14
United Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $779.19 / $1,408.54	Professional		$204.06	$779.19	$1,408.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $473.95 / $473.95 / $670.52	Professional		$473.95	$473.95	$670.52