Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $812.83	Professional		$245.47	$281.84	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $416.87	Professional		$275.42	$309.03	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $724.44	Facility		$707.95	$707.95	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $616.60	Professional		$257.04	$363.08	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $512.86	Professional		$245.47	$275.42	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $263.03	Facility		$36.31	$40.74	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $562.34	Professional		$234.42	$316.23	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $371.54	Professional		$257.04	$295.12	$371.54