Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $235.13 / $622.26	Professional		$196.26	$235.13	$622.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $245.79 / $270.37	Professional		$245.79	$245.79	$270.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $121.72	Facility		$50.00	$50.00	$121.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.68 / $303.58 / $563.47	Professional		$209.68	$303.58	$563.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $336.35 / $447.97	Professional		$260.74	$336.35	$447.97
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 $187.70 / $263.77 / $466.13	Professional		$187.70	$263.77	$466.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.19 / $299.85 / $369.53	Professional		$209.19	$299.85	$369.53