Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.29 / $277.82 / $545.89	Professional		$241.29	$277.82	$545.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $276.97 / $302.22 / $332.44	Professional		$276.97	$302.22	$332.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $134.68	Facility		$50.00	$50.00	$134.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $360.10 / $685.95	Professional		$233.12	$360.10	$685.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $349.93 / $498.34	Professional		$271.26	$349.93	$498.34
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 $232.21 / $321.61 / $604.54	Professional		$232.21	$321.61	$604.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $311.95 / $388.29	Professional		$268.69	$311.95	$388.29