Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $776.25	Professional		$302.00	$363.08	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $537.03	Professional		$309.03	$416.87	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $794.33	Facility		$331.13	$331.13	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $812.83	Professional		$295.12	$416.87	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $707.95	Professional		$389.05	$436.52	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $331.13	Facility		$36.31	$40.74	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $707.95	Professional		$263.03	$380.19	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $588.84	Professional		$288.40	$457.09	$588.84