Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $457.09	Professional		$229.09	$281.84	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $371.54	Professional		$288.40	$288.40	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $338.84	Professional		$251.19	$251.19	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $812.83	Professional		$380.19	$549.54	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $380.19 / $389.05	Facility		$239.88	$380.19	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $426.58	Professional		$239.88	$275.42	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $457.09	Professional		$302.00	$302.00	$457.09