Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $891.25	Professional		$416.87	$501.19	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $707.95	Professional		$446.68	$501.19	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $776.25	Facility		$575.44	$602.56	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $870.96	Professional		$389.05	$537.03	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $691.83	Professional		$354.81	$467.74	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,096.48	Facility		$302.00	$416.87	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $891.25	Professional		$371.54	$512.86	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $602.56	Professional		$371.54	$524.81	$602.56