Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.92 / $360.44 / $644.77	Professional		$307.92	$360.44	$644.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $375.95 / $424.39	Professional		$345.92	$375.95	$424.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $791.44	Facility		$330.00	$330.00	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $441.21 / $854.48	Professional		$314.70	$441.21	$854.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.22 / $503.38 / $706.75	Professional		$390.22	$503.38	$706.75
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 $263.61 / $380.83 / $669.88	Professional		$263.61	$380.83	$669.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $448.75 / $551.97	Professional		$288.17	$448.75	$551.97