Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $354.68 / $594.78	Professional		$293.98	$354.68	$594.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.45 / $319.36 / $407.64	Professional		$288.45	$319.36	$407.64
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 $295.01 / $440.21 / $846.07	Professional		$295.01	$440.21	$846.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.27 / $521.51 / $691.84	Professional		$404.27	$521.51	$691.84
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $418.30 / $794.76	Professional		$270.58	$418.30	$794.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.52 / $464.91 / $571.13	Professional		$296.52	$464.91	$571.13