Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.57 / $276.86 / $610.59	Professional		$227.57	$276.86	$610.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $297.42 / $301.93 / $332.12	Professional		$297.42	$301.93	$332.12
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 $240.39 / $354.58 / $665.97	Professional		$240.39	$354.58	$665.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $386.39 / $513.34	Professional		$299.52	$386.39	$513.34
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 $208.83 / $300.93 / $545.09	Professional		$208.83	$300.93	$545.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.36 / $344.46 / $423.39	Professional		$237.36	$344.46	$423.39