Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $457.09	Professional		$213.80	$257.04	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $354.81	Professional		$223.87	$251.19	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $630.96	Facility		$398.11	$575.44	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $501.19	Professional		$204.17	$275.42	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $346.74	Professional		$181.97	$239.88	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $1,096.48	Facility		$302.00	$363.08	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $467.74	Professional		$194.98	$263.03	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $316.23	Professional		$190.55	$275.42	$316.23