Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $630.96	Professional		$234.42	$295.12	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $407.38	Professional		$218.78	$316.23	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $724.44	Professional		$239.88	$346.74	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $630.96	Professional		$354.81	$416.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $524.81 / $741.31	Facility		$257.04	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $588.84	Professional		$199.53	$309.03	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $524.81	Professional		$239.88	$426.58	$524.81