Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.20 / $610.01 / $678.05	Professional		$447.20	$610.01	$678.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $558.48 / $587.85	Professional		$412.70	$558.48	$587.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $292.36 / $335.55	Facility		$248.50	$292.36	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.93 / $531.90 / $941.82	Professional		$409.93	$531.90	$941.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.36 / $622.64 / $812.15	Professional		$514.36	$622.64	$812.15
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 $383.11 / $499.44 / $930.19	Professional		$383.11	$499.44	$930.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $415.83 / $525.75 / $622.64	Professional		$415.83	$525.75	$622.64