Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.63 / $379.58 / $1,448.80	Professional		$283.63	$379.58	$1,448.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.73 / $318.81 / $733.82	Professional		$308.73	$318.81	$733.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.28 / $165.04 / $335.55	Facility		$140.28	$165.04	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.70 / $502.78 / $828.59	Professional		$252.70	$502.78	$828.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.38 / $347.89 / $486.44	Professional		$287.38	$347.89	$486.44
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 $279.70 / $537.05 / $772.03	Professional		$279.70	$537.05	$772.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.52 / $299.61 / $347.89	Professional		$290.52	$299.61	$347.89