Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $263.68 / $340.43	Professional		$209.25	$263.68	$340.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.71 / $263.70 / $290.07	Professional		$222.71	$263.70	$290.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $121.72 / $641.21	Facility		$50.00	$121.72	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.87 / $361.46 / $663.07	Professional		$235.87	$361.46	$663.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $434.64 / $567.38	Professional		$336.88	$434.64	$567.38
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 $236.98 / $331.58 / $621.16	Professional		$236.98	$331.58	$621.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.07 / $387.47 / $475.47	Professional		$276.07	$387.47	$475.47