Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $372.36 / $975.93	Professional		$170.12	$372.36	$975.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $201.02 / $225.14	Professional		$179.39	$201.02	$225.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $668.69	Facility		$330.00	$339.05	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.62 / $390.42 / $879.77	Professional		$185.62	$390.42	$879.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.57 / $630.16 / $858.44	Professional		$483.57	$630.16	$858.44
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.75 / $429.14 / $855.35	Professional		$207.75	$429.14	$855.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.73 / $561.78 / $690.81	Professional		$354.73	$561.78	$690.81