Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $676.08	Professional		$263.03	$323.59	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $426.58	Professional		$309.03	$346.74	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $776.25	Professional		$281.84	$389.05	$776.25
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 / $281.84	Facility		$36.31	$40.74	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $630.96	Professional		$239.88	$346.74	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $575.44	Professional		$281.84	$467.74	$575.44