Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $933.25	Professional		$524.81	$812.83	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $1,047.13 / $1,047.13	Professional		$3.72	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,479.11	Professional		$524.81	$794.33	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $562.34 / $758.58	Facility		$38.02	$562.34	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $933.25 / $1,698.24	Professional		$467.74	$933.25	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56