Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $724.44	Professional		$501.19	$562.34	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $616.60	Professional		$489.78	$549.54	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,023.29	Professional		$676.08	$776.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $512.86	Facility		$288.40	$288.40	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $549.54	Professional		$288.40	$309.03	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $537.03	Professional		$338.84	$537.03	$537.03