Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $342.43 / $869.20	Professional		$273.88	$342.43	$869.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $286.63 / $356.13 / $398.22	Professional		$286.63	$356.13	$398.22
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 $292.57 / $427.29 / $841.30	Professional		$292.57	$427.29	$841.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $474.87 / $631.60	Professional		$368.12	$474.87	$631.60
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 $259.32 / $370.27 / $643.99	Professional		$259.32	$370.27	$643.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.02 / $423.34 / $520.22	Professional		$288.02	$423.34	$520.22