Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.31 / $374.25 / $1,104.51	Professional		$344.31	$374.25	$1,104.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $548.90 / $1,446.06	Professional		$499.00	$548.90	$1,446.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.47 / $354.86 / $2,563.44	Professional		$264.47	$354.86	$2,563.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $598.79 / $748.50	Professional		$499.00	$598.79	$748.50
United Facility/Professional Facility Modifier Low / Median / High Price $209.58 / $209.58 / $209.58	Facility		$209.58	$209.58	$209.58
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $238.22 / $454.08	Professional		$209.58	$238.22	$454.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $396.71 / $396.71	Professional		$249.50	$396.71	$396.71