Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.04 / $543.83 / $702.08	Professional		$464.04	$543.83	$702.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.06 / $676.06 / $753.97	Professional		$676.06	$676.06	$753.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $768.75 / $768.75	Professional		$75.70	$768.75	$768.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.99 / $974.95 / $1,296.69	Professional		$826.99	$974.95	$1,296.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.02 / $488.93 / $766.25	Professional		$371.02	$488.93	$766.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $598.82 / $665.46 / $899.39	Professional		$598.82	$665.46	$899.39