Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.11 / $505.90 / $613.07	Professional		$365.11	$505.90	$613.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $452.27 / $492.56 / $518.12	Professional		$452.27	$492.56	$518.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.44 / $268.75 / $335.55	Facility		$228.44	$268.75	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.85 / $470.39 / $852.09	Professional		$367.85	$470.39	$852.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.19 / $560.71 / $731.36	Professional		$463.19	$560.71	$731.36
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $294.00	Facility		$294.00	$294.00	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.22 / $450.19 / $886.41	Professional		$354.22	$450.19	$886.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.28 / $463.92 / $560.71	Professional		$374.28	$463.92	$560.71