Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $537.03	Professional		$338.84	$407.38	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $467.74	Professional		$363.08	$407.38	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $354.81 / $660.69	Facility		$331.13	$354.81	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $588.84 / $724.44	Professional		$269.15	$588.84	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $758.58	Professional		$478.63	$537.03	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $239.88 / $512.86	Facility		$213.80	$239.88	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $489.78	Professional		$213.80	$239.88	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $758.58	Professional		$67.61	$87.10	$758.58