Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $831.76	Professional		$245.47	$309.03	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $389.05	Professional		$245.47	$316.23	$389.05
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 $245.47 / $346.74 / $691.83	Professional		$245.47	$346.74	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $616.60	Professional		$354.81	$407.38	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $257.04	Facility		$36.31	$40.74	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $575.44	Professional		$213.80	$309.03	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $512.86	Professional		$257.04	$416.87	$512.86