Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $933.25	Professional		$316.23	$398.11	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $524.81	Professional		$295.12	$426.58	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $331.13 / $338.84	Facility		$123.03	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $933.25	Professional		$323.59	$457.09	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $812.83	Professional		$467.74	$537.03	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $346.74	Facility		$36.31	$40.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $758.58	Professional		$281.84	$407.38	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $676.08	Professional		$309.03	$549.54	$676.08