Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $407.38	Professional		$257.04	$302.00	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $575.44	Facility		$354.81	$354.81	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $467.74	Professional		$302.00	$302.00	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $588.84	Professional		$363.08	$489.78	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $218.78 / $389.05	Facility		$25.70	$218.78	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $549.54	Professional		$269.15	$363.08	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $426.58	Professional		$416.87	$426.58	$426.58