Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.20 / $585.00 / $955.93	Professional		$577.20	$585.00	$955.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $780.00 / $990.60	Professional		$702.00	$780.00	$990.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.40 / $554.46 / $2,252.98	Professional		$413.40	$554.46	$2,252.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $936.00 / $1,170.00	Professional		$780.00	$936.00	$1,170.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $351.00 / $592.79	Professional		$327.60	$351.00	$592.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $620.10 / $620.10	Professional		$390.00	$620.10	$620.10