Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $831.76	Professional		$363.08	$457.09	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $630.96	Professional		$407.38	$446.68	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $602.56 / $724.44	Facility		$524.81	$602.56	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $891.25	Professional		$346.74	$467.74	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $676.08	Professional		$371.54	$478.63	$676.08
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 $331.13 / $457.09 / $812.83	Professional		$331.13	$457.09	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $630.96	Professional		$288.40	$549.54	$630.96