Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $349.04 / $536.32	Professional		$269.50	$349.04	$536.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $351.00 / $447.65	Professional		$351.00	$351.00	$447.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Facility		$468.67	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $468.67	Professional		$342.13	$342.13	$468.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.40 / $654.85 / $942.98	Professional		$458.40	$654.85	$942.98
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $306.29 / $328.16 / $518.04	Professional		$306.29	$328.16	$518.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.23 / $379.23 / $458.40	Professional		$379.23	$379.23	$458.40