Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.63 / $406.77 / $568.54	Professional		$317.63	$406.77	$568.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $381.93 / $381.93 / $475.09	Professional		$381.93	$381.93	$475.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $445.00 / $453.73	Facility		$121.72	$445.00	$453.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $526.15 / $954.16	Professional		$367.63	$526.15	$954.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.83 / $634.46 / $806.08	Professional		$491.83	$634.46	$806.08
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 $298.80 / $414.21 / $788.44	Professional		$298.80	$414.21	$788.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.47 / $565.60 / $694.58	Professional		$366.47	$565.60	$694.58