Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $575.44	Professional		$354.81	$436.52	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $501.19	Professional		$389.05	$436.52	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $288.40 / $707.95	Facility		$21.38	$288.40	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $616.60 / $776.25	Professional		$288.40	$616.60	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $812.83	Professional		$512.86	$562.34	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $229.09 / $537.03	Facility		$25.70	$229.09	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $524.81	Professional		$229.09	$245.47	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $812.83	Professional		$208.93	$269.15	$812.83