Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $891.25	Professional		$199.53	$389.05	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $309.03	Professional		$218.78	$239.88	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $645.65	Facility		$446.68	$446.68	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $912.01	Professional		$204.17	$407.38	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $891.25	Professional		$467.74	$549.54	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $426.58	Facility		$112.20	$141.25	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $436.52 / $933.25	Professional		$208.93	$436.52	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $741.31	Professional		$426.58	$562.34	$741.31