Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $891.25	Professional		$302.00	$363.08	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $489.78	Professional		$316.23	$389.05	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $831.76	Professional		$316.23	$436.52	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $741.31	Professional		$426.58	$489.78	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $346.74	Facility		$112.20	$141.25	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $707.95	Professional		$275.42	$389.05	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $616.60	Professional		$316.23	$501.19	$616.60