Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $489.78	Professional		$331.13	$398.11	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $467.74	Professional		$363.08	$407.38	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $645.65	Facility		$269.15	$331.13	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $524.81 / $660.69	Professional		$269.15	$524.81	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $758.58	Professional		$501.19	$549.54	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $501.19	Facility		$239.88	$323.59	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $489.78	Professional		$213.80	$234.42	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $758.58	Professional		$194.98	$251.19	$758.58