Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $630.96	Professional		$218.78	$302.00	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $371.54	Professional		$288.40	$288.40	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $346.74	Professional		$251.19	$251.19	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $812.83	Professional		$380.19	$549.54	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $416.87	Facility		$181.97	$263.03	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $426.58	Professional		$239.88	$269.15	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $457.09	Professional		$323.59	$323.59	$457.09