Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $305.82 / $467.01	Professional		$251.61	$305.82	$467.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $327.33 / $399.29	Professional		$313.00	$327.33	$399.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $367.78	Professional		$367.78	$367.78	$367.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.88 / $584.11 / $841.12	Professional		$408.88	$584.11	$841.12
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $263.12 / $301.33 / $462.10	Professional		$263.12	$301.33	$462.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.46 / $353.46 / $408.88	Professional		$353.46	$353.46	$408.88