Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $912.01	Professional		$316.23	$389.05	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $512.86	Professional		$346.74	$416.87	$512.86
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 $331.13 / $467.74 / $912.01	Professional		$331.13	$467.74	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $794.33	Professional		$457.09	$524.81	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $346.74	Facility		$36.31	$40.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $758.58	Professional		$281.84	$407.38	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $660.69	Professional		$323.59	$537.03	$660.69