Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.18 / $353.33 / $647.66	Professional		$238.18	$353.33	$647.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $274.98 / $274.98 / $353.86	Professional		$274.98	$274.98	$353.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.96 / $218.96 / $507.00	Facility		$218.96	$218.96	$507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $417.95 / $810.45	Professional		$256.01	$417.95	$810.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.05 / $505.74 / $674.90	Professional		$392.05	$505.74	$674.90
United Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $475.00 / $3,200.82	Facility		$236.62	$475.00	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $296.61 / $426.22 / $761.95	Professional		$296.61	$426.22	$761.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.75 / $450.86 / $560.10	Professional		$259.75	$450.86	$560.10