Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $794.33	Professional		$234.42	$346.74	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $524.81	Professional		$204.17	$223.87	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $446.68	Facility		$134.90	$158.49	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $691.83	Professional		$199.53	$407.38	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $616.60	Professional		$275.42	$316.23	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $851.14	Professional		$363.08	$467.74	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $389.05	Professional		$208.93	$288.40	$389.05