Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.11 / $214.59 / $258.27	Professional		$172.11	$214.59	$258.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $192.22 / $248.44	Professional		$160.60	$192.22	$248.44
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 $177.44 / $258.54 / $526.26	Professional		$177.44	$258.54	$526.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $335.41 / $448.06	Professional		$260.01	$335.41	$448.06
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 $148.47 / $244.58 / $516.91	Professional		$148.47	$244.58	$516.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $299.01 / $367.11	Professional		$159.50	$299.01	$367.11