Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $776.25	Professional		$446.68	$549.54	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $575.44	Professional		$457.09	$512.86	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $1,122.02	Professional		$338.84	$398.11	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $954.99	Professional		$645.65	$741.31	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $489.78	Facility		$269.15	$269.15	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $524.81	Professional		$269.15	$288.40	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59