Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,096.48	Professional		$371.54	$467.74	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $549.54	Professional		$407.38	$446.68	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $1,737.80	Professional		$269.15	$354.81	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $741.31	Professional		$501.19	$575.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $380.19	Facility		$208.93	$208.93	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $407.38	Professional		$208.93	$223.87	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $398.11	Professional		$251.19	$398.11	$398.11