Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $363.08 / $741.31	Professional		$138.04	$363.08	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $346.74	Professional		$134.90	$147.91	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $794.33	Facility		$512.86	$512.86	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $398.11 / $691.83	Professional		$169.82	$398.11	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $562.34	Professional		$257.04	$295.12	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $741.31	Facility		$302.00	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $758.58	Professional		$295.12	$446.68	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $389.05	Professional		$251.19	$295.12	$389.05