Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.83 / $438.68 / $521.51	Professional		$432.83	$438.68	$521.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $584.90 / $666.79	Professional		$526.41	$584.90	$666.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $398.71 / $756.90	Facility		$310.00	$398.71	$756.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.44 / $461.54 / $1,251.82	Professional		$320.44	$461.54	$1,251.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $731.13 / $877.35	Professional		$584.90	$731.13	$877.35
United Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $336.98 / $532.25	Professional		$257.36	$336.98	$532.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $288.83 / $292.45	Professional		$228.11	$288.83	$292.45