Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $318.49 / $465.63	Professional		$216.81	$318.49	$465.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.61 / $209.57 / $287.11	Professional		$188.61	$209.57	$287.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.08 / $244.76 / $629.00	Facility		$210.08	$244.76	$629.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.53 / $356.66 / $638.35	Professional		$224.53	$356.66	$638.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $428.19 / $622.52	Professional		$314.33	$428.19	$622.52
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $363.63 / $699.28	Professional		$264.64	$363.63	$699.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $425.27 / $523.19	Professional		$251.12	$425.27	$523.19