Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.82 / $338.49 / $902.11	Professional		$287.82	$338.49	$902.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.46 / $330.46 / $377.71	Professional		$330.46	$330.46	$377.71
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 $291.01 / $425.23 / $726.78	Professional		$291.01	$425.23	$726.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $437.17 / $582.34	Professional		$338.89	$437.17	$582.34
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 $272.85 / $372.40 / $676.36	Professional		$272.85	$372.40	$676.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $333.48 / $389.72 / $479.04	Professional		$333.48	$389.72	$479.04