Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.13 / $508.87 / $508.87	Professional		$351.13	$508.87	$508.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.10 / $407.10 / $517.02	Professional		$407.10	$407.10	$517.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $314.39 / $1,250.67	Professional		$263.33	$314.39	$1,250.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $610.64 / $763.31	Professional		$508.87	$610.64	$763.31
United Facility/Professional Facility Modifier Low / Median / High Price $213.73 / $213.73 / $213.73	Facility		$213.73	$213.73	$213.73
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $228.99 / $463.06	Professional		$213.73	$228.99	$463.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $404.55 / $404.55	Professional		$254.44	$404.55	$404.55