Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $195.35 / $484.12	Professional		$153.71	$195.35	$484.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $216.83 / $241.19	Professional		$157.85	$216.83	$241.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $118.18	Facility		$50.00	$50.00	$118.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $245.47 / $473.05	Professional		$173.70	$245.47	$473.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $270.36 / $358.98	Professional		$209.58	$270.36	$358.98
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 $144.00 / $213.38 / $379.79	Professional		$144.00	$213.38	$379.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $241.02 / $296.16	Professional		$159.43	$241.02	$296.16