Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.19 / $568.77 / $850.00	Professional		$561.19	$568.77	$850.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $682.52 / $758.36 / $970.70	Professional		$682.52	$758.36	$970.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.93 / $539.09 / $2,190.57	Professional		$401.93	$539.09	$2,190.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $910.03 / $1,137.54	Professional		$758.36	$910.03	$1,137.54
United Facility/Professional Facility Modifier Low / Median / High Price $318.51 / $318.51 / $318.51	Facility		$318.51	$318.51	$318.51
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $341.26 / $690.09	Professional		$318.51	$341.26	$690.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $602.90 / $602.90	Professional		$379.18	$602.90	$602.90