Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.91 / $192.24 / $210.67	Professional		$165.91	$192.24	$210.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $210.35 / $239.77	Professional		$156.91	$210.35	$239.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $112.08	Facility		$50.00	$50.00	$112.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $246.54 / $490.04	Professional		$172.87	$246.54	$490.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.83 / $268.10 / $355.01	Professional		$207.83	$268.10	$355.01
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 $138.63 / $199.28 / $370.56	Professional		$138.63	$199.28	$370.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.28 / $239.00 / $293.61	Professional		$159.28	$239.00	$293.61