Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.39 / $339.48 / $553.52	Professional		$288.39	$339.48	$553.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $387.97 / $473.26	Professional		$371.00	$387.97	$473.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $432.60	Facility		$432.60	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $432.60	Professional		$315.80	$315.80	$432.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.62 / $692.31 / $996.93	Professional		$484.62	$692.31	$996.93
United Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $518.09 / $532.23	Facility		$266.12	$518.09	$532.23
United Facility/Professional Professional Modifier Low / Median / High Price $311.86 / $364.20 / $547.69	Professional		$311.86	$364.20	$547.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $418.93 / $418.93 / $484.62	Professional		$418.93	$418.93	$484.62