Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $812.83	Professional		$446.68	$562.34	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $645.65	Professional		$436.52	$489.78	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,412.54	Professional		$416.87	$660.69	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $1,000.00	Professional		$467.74	$537.03	$1,000.00
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 $436.52 / $616.60 / $1,023.29	Professional		$436.52	$616.60	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $724.44	Professional		$478.63	$562.34	$724.44