Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $588.84	Professional		$363.08	$467.74	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $446.68	Professional		$288.40	$407.38	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Facility		$489.78	$489.78	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $707.95	Professional		$295.12	$398.11	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $537.03	Professional		$323.59	$371.54	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $660.69	Facility		$446.68	$446.68	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $741.31	Professional		$275.42	$354.81	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $512.86	Professional		$302.00	$354.81	$512.86