Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $372.57 / $553.08	Professional		$205.02	$372.57	$553.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $220.29 / $220.29 / $341.45	Professional		$220.29	$220.29	$341.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $516.15 / $867.13	Facility		$376.00	$516.15	$867.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $381.75 / $726.69	Professional		$209.50	$381.75	$726.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $491.01 / $719.63	Professional		$332.22	$491.01	$719.63
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 $349.68 / $472.01 / $790.06	Professional		$349.68	$472.01	$790.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.74 / $477.57 / $590.34	Professional		$339.74	$477.57	$590.34