Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.51 / $347.99 / $645.24	Professional		$292.51	$347.99	$645.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.87 / $380.25 / $419.96	Professional		$255.87	$380.25	$419.96
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 $315.60 / $458.99 / $851.03	Professional		$315.60	$458.99	$851.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.91 / $514.59 / $683.55	Professional		$398.91	$514.59	$683.55
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 $278.25 / $388.17 / $781.01	Professional		$278.25	$388.17	$781.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $313.12 / $458.75 / $563.87	Professional		$313.12	$458.75	$563.87