Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $240.41 / $450.92	Professional		$209.76	$240.41	$450.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.74 / $265.74 / $292.77	Professional		$265.74	$265.74	$292.77
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 $228.93 / $334.38 / $594.12	Professional		$228.93	$334.38	$594.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.98 / $361.17 / $478.82	Professional		$279.98	$361.17	$478.82
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $128.00	Facility		$36.00	$41.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $291.49 / $495.28	Professional		$212.78	$291.49	$495.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.72 / $321.98 / $398.42	Professional		$245.72	$321.98	$398.42