Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $390.88 / $640.85	Professional		$206.00	$390.88	$640.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $211.67 / $240.84	Professional		$211.67	$211.67	$240.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $451.23 / $641.21	Facility		$445.00	$451.23	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $413.33 / $953.86	Professional		$205.22	$413.33	$953.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.15 / $603.66 / $1,010.50	Professional		$466.15	$603.66	$1,010.50
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.06 / $545.90 / $1,073.79	Professional		$349.06	$545.90	$1,073.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $422.20 / $538.15 / $665.93	Professional		$422.20	$538.15	$665.93