Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $707.95	Professional		$162.18	$371.54	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $218.78	Professional		$141.25	$181.97	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $371.54 / $741.31	Professional		$165.96	$371.54	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $724.44	Professional		$316.23	$426.58	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $338.84 / $724.44	Professional		$151.36	$338.84	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $575.44	Professional		$363.08	$467.74	$575.44