Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $575.44	Professional		$269.15	$338.84	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $426.58	Professional		$331.13	$331.13	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $933.25	Professional		$436.52	$630.96	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $457.09 / $467.74	Facility		$407.38	$457.09	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $489.78	Professional		$275.42	$316.23	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Professional		$371.54	$371.54	$524.81