Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.36 / $394.59 / $994.89	Professional		$328.36	$394.59	$994.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $380.33 / $430.82	Professional		$292.02	$380.33	$430.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.97 / $475.17 / $926.21	Professional		$331.97	$475.17	$926.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.10 / $563.86 / $748.00	Professional		$437.10	$563.86	$748.00
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.20 / $437.71 / $813.06	Professional		$286.20	$437.71	$813.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $502.66 / $617.27	Professional		$309.02	$502.66	$617.27