Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.22 / $322.77 / $551.02	Professional		$257.22	$322.77	$551.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $368.88 / $449.97	Professional		$353.00	$368.88	$449.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $444.49	Facility		$444.49	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $444.49	Professional		$324.48	$324.48	$444.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.78 / $658.25 / $947.88	Professional		$460.78	$658.25	$947.88
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.85 / $329.85 / $520.74	Professional		$286.85	$329.85	$520.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.92 / $347.92 / $460.78	Professional		$347.92	$347.92	$460.78