Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $891.25	Professional		$257.04	$323.59	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $436.52	Professional		$213.80	$354.81	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $123.03	Facility		$50.12	$50.12	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $724.44	Professional		$269.15	$371.54	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $645.65	Professional		$371.54	$416.87	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $269.15	Facility		$36.31	$40.74	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $602.56	Professional		$223.87	$323.59	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $524.81	Professional		$263.03	$426.58	$524.81