Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $577.19 / $631.05	Professional		$222.93	$577.19	$631.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $615.66 / $692.62 / $789.59	Professional		$615.66	$692.62	$789.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.88 / $547.03 / $2,222.73	Professional		$407.88	$547.03	$2,222.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $923.50 / $1,154.36	Professional		$769.58	$923.50	$1,154.36
United Facility/Professional Facility Modifier Low / Median / High Price $323.22 / $323.22 / $323.22	Facility		$323.22	$323.22	$323.22
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $346.31 / $615.30	Professional		$323.22	$346.31	$615.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.79 / $611.82 / $611.82	Professional		$384.79	$611.82	$611.82