Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $794.33	Professional		$239.88	$363.08	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $549.54	Professional		$346.74	$380.19	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $676.08	Professional		$281.84	$363.08	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $562.34	Professional		$309.03	$407.38	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $588.84	Professional		$229.09	$309.03	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $562.34	Professional		$218.78	$446.68	$562.34