Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $293.14 / $706.55	Professional		$236.65	$293.14	$706.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $307.42 / $336.83	Professional		$243.39	$307.42	$336.83
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 $259.63 / $371.05 / $686.53	Professional		$259.63	$371.05	$686.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $416.93 / $554.27	Professional		$323.20	$416.93	$554.27
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 $217.70 / $319.97 / $576.23	Professional		$217.70	$319.97	$576.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.97 / $371.68 / $456.83	Professional		$256.97	$371.68	$456.83