Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $457.09	Professional		$213.80	$323.59	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Facility		$331.13	$331.13	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $281.84 / $331.13	Professional		$43.65	$281.84	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $537.03	Professional		$331.13	$416.87	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $181.97 / $309.03	Facility		$31.62	$181.97	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $549.54	Professional		$208.93	$288.40	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $691.83	Professional		$380.19	$691.83	$691.83