Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.49 / $422.17 / $581.37	Professional		$309.49	$422.17	$581.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $365.33 / $379.79 / $398.78	Professional		$365.33	$379.79	$398.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $292.36 / $449.41	Facility		$248.50	$292.36	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.38 / $389.95 / $696.17	Professional		$303.38	$389.95	$696.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.80 / $454.92 / $593.37	Professional		$375.80	$454.92	$593.37
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 $287.94 / $368.21 / $685.36	Professional		$287.94	$368.21	$685.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $306.25 / $385.06 / $454.92	Professional		$306.25	$385.06	$454.92