Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $512.86	Professional		$302.00	$363.08	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $426.58	Professional		$331.13	$371.54	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $691.83	Professional		$436.52	$478.63	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $218.78 / $457.09	Facility		$194.98	$218.78	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $446.68	Professional		$194.98	$213.80	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.63 / $691.83	Professional		$2.04	$2.63	$691.83