Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $676.08	Professional		$204.17	$380.19	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $354.81	Professional		$199.53	$223.87	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $660.69	Facility		$380.19	$457.09	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $660.69	Professional		$208.93	$354.81	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $691.83	Professional		$295.12	$512.86	$691.83
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 $194.98 / $363.08 / $676.08	Professional		$194.98	$363.08	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $676.08	Professional		$239.88	$549.54	$676.08