Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $257.29 / $454.27	Professional		$237.84	$257.29	$454.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $397.24	Professional		$312.00	$312.00	$397.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $276.70	Professional		$276.70	$276.70	$276.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.78 / $581.11 / $836.80	Professional		$406.78	$581.11	$836.80
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $289.91 / $462.11	Professional		$225.77	$289.91	$462.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.44 / $311.44 / $406.78	Professional		$311.44	$311.44	$406.78