Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $331.66 / $782.37	Professional		$266.35	$331.66	$782.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $344.71 / $355.49 / $380.08	Professional		$344.71	$355.49	$380.08
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 $282.05 / $408.59 / $819.71	Professional		$282.05	$408.59	$819.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.45 / $445.63 / $589.91	Professional		$345.45	$445.63	$589.91
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 $236.76 / $341.75 / $630.11	Professional		$236.76	$341.75	$630.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.05 / $397.27 / $488.53	Professional		$280.05	$397.27	$488.53