Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $268.54 / $475.94	Professional		$229.94	$268.54	$475.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $296.80 / $350.27	Professional		$287.43	$296.80	$350.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $791.44	Facility		$445.00	$453.73	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $352.98 / $581.57	Professional		$243.80	$352.98	$581.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $352.69 / $500.42	Professional		$273.39	$352.69	$500.42
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 $202.34 / $298.13 / $551.51	Professional		$202.34	$298.13	$551.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.17 / $314.41 / $387.35	Professional		$245.17	$314.41	$387.35