Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $562.34	Professional		$346.74	$416.87	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $489.78	Professional		$380.19	$416.87	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $371.54 / $676.08	Facility		$346.74	$371.54	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $602.56 / $758.58	Professional		$281.84	$602.56	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $794.33	Professional		$501.19	$549.54	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $524.81	Facility		$218.78	$251.19	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $512.86	Professional		$218.78	$245.47	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $794.33	Professional		$67.61	$87.10	$794.33