Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $707.95	Professional		$151.36	$263.03	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $234.42	Professional		$165.96	$186.21	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $1,122.02	Facility		$331.13	$338.84	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $602.56	Professional		$165.96	$295.12	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $630.96	Professional		$354.81	$407.38	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $467.74	Facility		$162.18	$213.80	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $512.86	Professional		$141.25	$263.03	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $512.86	Professional		$229.09	$416.87	$512.86