Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.51 / $328.88 / $795.88	Professional		$266.51	$328.88	$795.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $346.96 / $381.66	Professional		$290.45	$346.96	$381.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $413.92 / $768.37	Professional		$288.88	$413.92	$768.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.63 / $462.63 / $614.66	Professional		$358.63	$462.63	$614.66
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 $253.43 / $362.27 / $629.36	Professional		$253.43	$362.27	$629.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.85 / $412.42 / $506.90	Professional		$285.85	$412.42	$506.90