Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $851.14	Professional		$199.53	$338.84	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $257.04	Professional		$190.55	$208.93	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $691.83	Professional		$199.53	$346.74	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $616.60	Professional		$295.12	$398.11	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $562.34	Professional		$181.97	$309.03	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $446.68 / $537.03	Professional		$154.88	$446.68	$537.03