Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.97 / $244.22 / $444.97	Professional		$232.97	$244.22	$444.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $305.00 / $389.12	Professional		$305.00	$305.00	$389.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $373.57	Facility		$373.57	$373.57	$373.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $373.57	Professional		$272.70	$272.70	$373.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.45 / $569.22 / $819.68	Professional		$398.45	$569.22	$819.68
United Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $276.36 / $325.33	Facility		$189.02	$276.36	$325.33
United Facility/Professional Professional Modifier Low / Median / High Price $236.34 / $283.97 / $452.65	Professional		$236.34	$283.97	$452.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.87 / $334.87 / $398.45	Professional		$334.87	$334.87	$398.45