Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.11 / $335.03 / $747.93	Professional		$271.11	$335.03	$747.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $352.60 / $387.86	Professional		$260.00	$352.60	$387.86
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 $285.33 / $412.91 / $824.68	Professional		$285.33	$412.91	$824.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.34 / $467.42 / $620.10	Professional		$362.34	$467.42	$620.10
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 $248.67 / $364.29 / $643.74	Professional		$248.67	$364.29	$643.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.85 / $416.69 / $512.22	Professional		$282.85	$416.69	$512.22