Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $933.25	Facility		$741.31	$891.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $758.58	Professional		$295.12	$588.84	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $645.65	Professional		$512.86	$575.44	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,071.52	Professional		$724.44	$831.76	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $549.54	Facility		$302.00	$302.00	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $588.84	Professional		$302.00	$323.59	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08