Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $977.24	Professional		$338.84	$416.87	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $588.84	Professional		$416.87	$467.74	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $933.25	Professional		$363.08	$501.19	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $724.44	Professional		$416.87	$467.74	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $1,621.81	Facility		$389.05	$524.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $812.83	Professional		$302.00	$446.68	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $645.65	Professional		$331.13	$501.19	$645.65