Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.46 / $152.46 / $637.80	Facility		$152.46	$152.46	$637.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $437.70 / $903.34	Professional		$315.55	$437.70	$903.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.86 / $392.86 / $465.00	Professional		$392.86	$392.86	$465.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.87 / $510.72 / $848.16	Professional		$354.87	$510.72	$848.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.38 / $631.10 / $1,039.86	Professional		$540.38	$631.10	$1,039.86
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 $398.67 / $549.74 / $1,104.00	Professional		$398.67	$549.74	$1,104.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $396.29 / $407.65 / $627.03	Professional		$396.29	$407.65	$627.03