Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $537.03	Professional		$245.47	$302.00	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $416.87	Professional		$263.03	$288.40	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $575.44 / $630.96	Facility		$467.74	$575.44	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $588.84	Professional		$239.88	$323.59	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $398.11	Professional		$213.80	$281.84	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $1,096.48	Facility		$302.00	$380.19	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $549.54	Professional		$223.87	$309.03	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $363.08	Professional		$245.47	$316.23	$363.08