Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.73 / $319.55 / $479.33	Professional		$246.73	$319.55	$479.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $321.00 / $409.82	Professional		$321.00	$321.00	$409.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $483.85	Facility		$483.85	$483.85	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $353.21 / $483.85	Professional		$353.21	$353.21	$483.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.66 / $599.51 / $863.29	Professional		$419.66	$599.51	$863.29
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $270.05 / $314.04 / $474.27	Professional		$270.05	$314.04	$474.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.67 / $353.67 / $419.66	Professional		$353.67	$353.67	$419.66