Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $266.75 / $656.28	Professional		$220.46	$266.75	$656.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $278.37 / $307.79	Professional		$215.00	$278.37	$307.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $121.72	Facility		$50.00	$50.00	$121.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $334.60 / $653.22	Professional		$229.77	$334.60	$653.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.08 / $379.36 / $505.71	Professional		$294.08	$379.36	$505.71
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 $203.54 / $307.64 / $583.71	Professional		$203.54	$307.64	$583.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.13 / $338.19 / $415.70	Professional		$227.13	$338.19	$415.70