Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $549.54	Professional		$257.04	$323.59	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $416.87	Professional		$316.23	$316.23	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Professional		$295.12	$295.12	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $912.01	Professional		$426.58	$602.56	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $457.09	Facility		$389.05	$446.68	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $467.74	Professional		$269.15	$302.00	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $501.19	Professional		$354.81	$354.81	$501.19