Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $707.95	Professional		$436.52	$537.03	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $537.03	Professional		$416.87	$467.74	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $1,071.52	Professional		$323.59	$416.87	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $870.96	Professional		$588.84	$676.08	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $446.68	Facility		$245.47	$245.47	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $524.81	Professional		$245.47	$302.00	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12