Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.33 / $279.08 / $406.44	Professional		$247.33	$279.08	$406.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $299.67 / $299.67 / $420.61	Professional		$299.67	$299.67	$420.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $715.00 / $728.96	Facility		$715.00	$715.00	$728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.91 / $372.34 / $720.19	Professional		$259.91	$372.34	$720.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.89 / $366.75 / $507.98	Professional		$280.89	$366.75	$507.98
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 $227.36 / $326.36 / $548.79	Professional		$227.36	$326.36	$548.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.62 / $326.95 / $401.28	Professional		$280.62	$326.95	$401.28