Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.26 / $318.05 / $507.80	Professional		$140.26	$318.05	$507.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $153.13 / $346.33	Professional		$151.00	$153.13	$346.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $791.44	Facility		$507.00	$518.54	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $415.85 / $738.62	Professional		$143.54	$415.85	$738.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.76 / $323.48 / $748.03	Professional		$250.76	$323.48	$748.03
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.88 / $530.26 / $894.38	Professional		$365.88	$530.26	$894.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.76 / $288.37 / $358.32	Professional		$250.76	$288.37	$358.32