Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $444.00 / $450.00	Professional		$390.00	$444.00	$450.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $547.20	Professional		$480.00	$480.00	$547.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.08 / $370.90 / $1,474.40	Professional		$311.08	$370.90	$1,474.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $720.00 / $900.00	Professional		$600.00	$720.00	$900.00
United Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $252.00 / $252.00	Facility		$252.00	$252.00	$252.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $270.00 / $545.99	Professional		$252.00	$270.00	$545.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00