Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.72 / $336.37 / $429.28	Professional		$227.72	$336.37	$429.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.42 / $299.33 / $317.29	Professional		$241.42	$299.33	$317.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $258.36 / $641.21	Facility		$50.00	$258.36	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.36 / $416.42 / $803.78	Professional		$243.36	$416.42	$803.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $547.04 / $802.85	Professional		$422.40	$547.04	$802.85
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.05 / $434.53 / $748.45	Professional		$302.05	$434.53	$748.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $487.68 / $603.44	Professional		$223.42	$487.68	$603.44