Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $354.81	Professional		$245.47	$281.84	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $512.86	Facility		$302.00	$302.00	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $398.11	Professional		$257.04	$257.04	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $524.81	Professional		$302.00	$407.38	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $199.53 / $354.81	Facility		$24.55	$199.53	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $524.81	Professional		$234.42	$323.59	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81