Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $891.25	Professional		$281.84	$363.08	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $478.63	Professional		$346.74	$380.19	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $794.33	Facility		$446.68	$457.09	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $851.14	Professional		$295.12	$416.87	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $758.58	Professional		$436.52	$501.19	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $467.74	Facility		$194.98	$309.03	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $707.95	Professional		$263.03	$371.54	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $630.96	Professional		$295.12	$512.86	$630.96