Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.94 / $331.95 / $442.55	Professional		$272.94	$331.95	$442.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $384.64 / $395.72 / $652.94	Professional		$384.64	$395.72	$652.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.08 / $395.08 / $395.08	Facility		$395.08	$395.08	$395.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $380.11 / $677.34	Professional		$297.60	$380.11	$677.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.94 / $391.09 / $558.71	Professional		$306.94	$391.09	$558.71
United Facility/Professional Facility Modifier Low / Median / High Price $253.83 / $253.83 / $253.83	Facility		$253.83	$253.83	$253.83
United Facility/Professional Professional Modifier Low / Median / High Price $247.90 / $326.61 / $583.77	Professional		$247.90	$326.61	$583.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.02 / $375.14 / $484.21	Professional		$246.02	$375.14	$484.21