Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $562.34	Professional		$398.11	$446.68	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $616.60	Professional		$489.78	$537.03	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,288.25	Professional		$407.38	$616.60	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $776.25	Professional		$398.11	$575.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $776.25	Facility		$354.81	$354.81	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $933.25	Professional		$363.08	$549.54	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87