Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $199.59 / $253.52	Professional		$165.53	$199.59	$253.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $219.12 / $241.03	Professional		$196.56	$219.12	$241.03
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 $176.84 / $259.31 / $488.65	Professional		$176.84	$259.31	$488.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.08 / $305.83 / $408.14	Professional		$237.08	$305.83	$408.14
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 $165.05 / $239.91 / $433.58	Professional		$165.05	$239.91	$433.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.70 / $272.64 / $336.72	Professional		$192.70	$272.64	$336.72