Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $537.03	Professional		$363.08	$416.87	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $707.95	Facility		$275.42	$275.42	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $275.42	Professional		$204.17	$234.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $831.76	Professional		$537.03	$741.31	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $234.42 / $426.58	Facility		$28.18	$234.42	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $660.69	Professional		$309.03	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Professional		$524.81	$524.81	$602.56