Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $1,047.13	Professional		$257.04	$389.05	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $407.38	Professional		$281.84	$309.03	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $870.96	Professional		$281.84	$436.52	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $776.25	Professional		$436.52	$501.19	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $524.81 / $741.31	Facility		$263.03	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $741.31	Professional		$257.04	$407.38	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $660.69	Professional		$389.05	$501.19	$660.69