Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.62 / $333.73 / $744.35	Professional		$273.62	$333.73	$744.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.18 / $353.31 / $383.93	Professional		$320.18	$353.31	$383.93
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 $299.02 / $427.48 / $786.75	Professional		$299.02	$427.48	$786.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.31 / $476.41 / $633.89	Professional		$369.31	$476.41	$633.89
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 $259.04 / $369.04 / $663.80	Professional		$259.04	$369.04	$663.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $424.71 / $522.22	Professional		$295.02	$424.71	$522.22