Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $299.82 / $344.41	Professional		$251.28	$299.82	$344.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $279.61 / $308.43 / $344.10	Professional		$279.61	$308.43	$344.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.66 / $384.20 / $772.13	Professional		$265.66	$384.20	$772.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.03 / $430.90 / $567.16	Professional		$334.03	$430.90	$567.16
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.47 / $323.68 / $603.55	Professional		$221.47	$323.68	$603.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $384.13 / $470.97	Professional		$243.41	$384.13	$470.97