Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $691.83	Professional		$309.03	$363.08	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $549.54	Professional		$309.03	$346.74	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,047.13 / $1,479.11	Facility		$398.11	$1,047.13	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $645.65	Professional		$302.00	$407.38	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $512.86	Professional		$251.19	$331.13	$512.86
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 $275.42 / $380.19 / $660.69	Professional		$275.42	$380.19	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $436.52	Professional		$269.15	$380.19	$436.52