Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.42 / $419.70 / $831.05	Professional		$296.42	$419.70	$831.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $326.27 / $326.27 / $420.54	Professional		$326.27	$326.27	$420.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $791.44	Facility		$445.00	$453.73	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.72 / $495.61 / $971.60	Professional		$311.72	$495.61	$971.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.22 / $619.48 / $825.94	Professional		$480.22	$619.48	$825.94
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 $353.34 / $499.44 / $937.31	Professional		$353.34	$499.44	$937.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.44 / $552.25 / $683.81	Professional		$412.44	$552.25	$683.81