Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.75 / $360.70 / $396.67	Professional		$309.75	$360.70	$396.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $363.34 / $399.67	Professional		$315.00	$363.34	$399.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $791.44	Facility		$330.00	$339.05	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.36 / $456.96 / $881.27	Professional		$318.36	$456.96	$881.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.53 / $510.23 / $674.30	Professional		$395.53	$510.23	$674.30
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.97 / $381.57 / $693.90	Professional		$264.97	$381.57	$693.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $454.86 / $558.60	Professional		$317.85	$454.86	$558.60