Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $311.54 / $732.33	Professional		$249.25	$311.54	$732.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.30 / $325.97 / $358.57	Professional		$212.30	$325.97	$358.57
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 $269.20 / $391.66 / $721.13	Professional		$269.20	$391.66	$721.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.10 / $438.73 / $583.80	Professional		$340.10	$438.73	$583.80
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 $235.08 / $321.87 / $596.75	Professional		$235.08	$321.87	$596.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.22 / $391.12 / $480.96	Professional		$265.22	$391.12	$480.96