Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $251.03 / $624.38	Professional		$211.80	$251.03	$624.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $267.70 / $291.63	Professional		$267.70	$267.70	$291.63
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 $223.71 / $321.80 / $592.30	Professional		$223.71	$321.80	$592.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.94 / $346.93 / $462.14	Professional		$268.94	$346.93	$462.14
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 $191.64 / $268.12 / $482.37	Professional		$191.64	$268.12	$482.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.97 / $309.27 / $381.34	Professional		$223.97	$309.27	$381.34