Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $396.15 / $552.80	Professional		$279.04	$396.15	$552.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $262.62 / $306.23 / $413.41	Professional		$262.62	$306.23	$413.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.89 / $298.14 / $483.77	Facility		$255.89	$298.14	$483.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $444.84 / $798.80	Professional		$291.33	$444.84	$798.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.72 / $513.90 / $738.29	Professional		$376.72	$513.90	$738.29
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.90 / $460.34 / $823.30	Professional		$337.90	$460.34	$823.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $507.85 / $627.87	Professional		$329.53	$507.85	$627.87