Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $537.03	Professional		$338.84	$398.11	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $467.74	Professional		$371.54	$407.38	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $741.31	Professional		$269.15	$588.84	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $758.58	Professional		$489.78	$537.03	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $245.47 / $512.86	Facility		$213.80	$245.47	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $501.19	Professional		$213.80	$239.88	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $758.58	Professional		$162.18	$208.93	$758.58