Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $575.44	Professional		$218.78	$323.59	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $371.54	Professional		$213.80	$234.42	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $891.25	Facility		$380.19	$616.60	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $575.44	Professional		$229.09	$354.81	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $549.54	Professional		$269.15	$380.19	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $588.84	Professional		$218.78	$338.84	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $512.86	Professional		$269.15	$407.38	$512.86