Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $450.00 / $492.00	Professional		$444.00	$450.00	$492.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $468.66 / $480.00 / $609.60	Professional		$468.66	$480.00	$609.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.41 / $394.61 / $1,474.40	Professional		$325.41	$394.61	$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 / $270.32 / $540.00	Professional		$252.00	$270.32	$540.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $477.00 / $477.00	Professional		$300.00	$477.00	$477.00