Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $724.44	Professional		$338.84	$446.68	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $407.38	Professional		$331.13	$363.08	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $446.68	Facility		$251.19	$426.58	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $831.76	Professional		$295.12	$389.05	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $660.69	Professional		$389.05	$457.09	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $707.95	Professional		$269.15	$354.81	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $562.34	Professional		$309.03	$407.38	$562.34