Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $329.91 / $776.81	Professional		$272.18	$329.91	$776.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $346.17 / $380.79	Professional		$320.00	$346.17	$380.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $791.44	Facility		$627.00	$641.21	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.51 / $417.90 / $717.92	Professional		$287.51	$417.90	$717.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.38 / $441.67 / $729.87	Professional		$342.38	$441.67	$729.87
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 $242.18 / $351.28 / $650.71	Professional		$242.18	$351.28	$650.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.32 / $393.74 / $484.56	Professional		$286.32	$393.74	$484.56