Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $275.42 / $707.95	Professional		$131.83	$275.42	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $199.53	Professional		$125.89	$158.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $588.84	Professional		$138.04	$288.40	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $630.96	Professional		$346.74	$416.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $295.12	Facility		$112.20	$134.90	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $537.03	Professional		$123.03	$269.15	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $436.52 / $512.86	Professional		$125.89	$436.52	$512.86