Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $310.41 / $782.80	Professional		$252.78	$310.41	$782.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $329.21 / $362.13	Professional		$258.29	$329.21	$362.13
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 $274.63 / $391.48 / $732.17	Professional		$274.63	$391.48	$732.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.66 / $435.58 / $577.73	Professional		$337.66	$435.58	$577.73
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 $237.38 / $337.35 / $611.35	Professional		$237.38	$337.35	$611.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $388.31 / $477.35	Professional		$271.70	$388.31	$477.35