Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $242.18 / $296.12	Professional		$146.34	$242.18	$296.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $141.04 / $182.75	Professional		$116.61	$141.04	$182.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $134.56	Facility		$50.00	$50.00	$134.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $280.38 / $558.19	Professional		$156.94	$280.38	$558.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.64 / $390.95 / $522.40	Professional		$299.64	$390.95	$522.40
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 $202.77 / $299.49 / $568.29	Professional		$202.77	$299.49	$568.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.91 / $348.52 / $428.07	Professional		$228.91	$348.52	$428.07