Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $831.76	Professional		$257.04	$323.59	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $436.52	Professional		$257.04	$354.81	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $707.95	Professional		$269.15	$363.08	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $630.96	Professional		$363.08	$416.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $275.42	Facility		$36.31	$40.74	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $616.60	Professional		$229.09	$331.13	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $524.81	Professional		$269.15	$426.58	$524.81