Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.42 / $411.31 / $449.84	Professional		$354.42	$411.31	$449.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $428.83 / $471.71	Professional		$405.00	$428.83	$471.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $926.26	Facility		$627.00	$641.21	$926.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.03 / $536.05 / $891.09	Professional		$379.03	$536.05	$891.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.35 / $542.25 / $711.90	Professional		$420.35	$542.25	$711.90
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $471.00 / $701.00	Facility		$215.00	$471.00	$701.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.26 / $438.66 / $830.74	Professional		$314.26	$438.66	$830.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.50 / $483.40 / $597.69	Professional		$383.50	$483.40	$597.69