Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $724.44	Professional		$478.63	$562.34	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $616.60	Professional		$501.19	$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 $691.83 / $794.33 / $1,047.13	Professional		$691.83	$794.33	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $524.81	Facility		$288.40	$288.40	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $562.34	Professional		$288.40	$309.03	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74