Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $851.14	Professional		$281.84	$346.74	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $446.68	Professional		$323.59	$354.81	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $331.13 / $338.84	Facility		$123.03	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $794.33	Professional		$288.40	$407.38	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $691.83	Professional		$407.38	$457.09	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $295.12	Facility		$36.31	$40.74	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $660.69	Professional		$251.19	$354.81	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $575.44	Professional		$295.12	$467.74	$575.44