Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $381.23 / $381.23	Professional		$358.80	$381.23	$381.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Professional		$76.00	$76.00	$76.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.89 / $1,810.82 / $2,130.38	Professional		$493.89	$1,810.82	$2,130.38
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $413.40	Professional		$390.00	$390.00	$413.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $59.09 / $59.09	Professional		$59.09	$59.09	$59.09