Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $431.87 / $742.51	Professional		$295.27	$431.87	$742.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $359.22 / $399.13 / $564.13	Professional		$359.22	$399.13	$564.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.62 / $271.32 / $513.90	Facility		$230.62	$271.32	$513.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.05 / $396.08 / $769.90	Professional		$305.05	$396.08	$769.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.83 / $514.27 / $670.79	Professional		$424.83	$514.27	$670.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.25 / $392.43 / $769.66	Professional		$295.25	$392.43	$769.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $375.07 / $514.27	Professional		$311.20	$375.07	$514.27