Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $478.63	Professional		$208.93	$275.42	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $363.08	Professional		$275.42	$275.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $776.25	Professional		$363.08	$524.81	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $380.19	Facility		$173.78	$251.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $407.38	Professional		$229.09	$257.04	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $436.52	Professional		$309.03	$316.23	$436.52