Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $392.54 / $533.01	Professional		$297.29	$392.54	$533.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.69 / $322.51 / $435.39	Professional		$295.69	$322.51	$435.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.89 / $298.14 / $508.30	Facility		$255.89	$298.14	$508.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.83 / $450.46 / $824.99	Professional		$308.83	$450.46	$824.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.15 / $484.71 / $698.45	Professional		$368.15	$484.71	$698.45
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 $343.82 / $475.83 / $834.53	Professional		$343.82	$475.83	$834.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.27 / $480.16 / $595.37	Professional		$371.27	$480.16	$595.37