Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $252.62 / $458.92	Professional		$212.02	$252.62	$458.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $288.70	Professional		$276.00	$276.00	$288.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $305.54	Professional		$223.04	$223.04	$305.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.62 / $515.16 / $741.84	Professional		$360.62	$515.16	$741.84
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $232.06 / $265.85 / $407.55	Professional		$232.06	$265.85	$407.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $295.95 / $360.62	Professional		$295.95	$295.95	$360.62