Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $281.25 / $443.20	Professional		$219.81	$281.25	$443.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $283.00 / $360.70	Professional		$283.00	$283.00	$360.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $402.09	Professional		$293.52	$293.52	$402.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.36 / $527.65 / $759.82	Professional		$369.36	$527.65	$759.82
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.68 / $272.29 / $417.43	Professional		$237.68	$272.29	$417.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.29 / $319.29 / $369.36	Professional		$319.29	$319.29	$369.36