Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $512.86	Professional		$338.84	$398.11	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $446.68	Professional		$346.74	$389.05	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $724.44	Professional		$489.78	$562.34	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $371.54	Facility		$204.17	$204.17	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $398.11	Professional		$204.17	$218.78	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47