Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $238.24 / $325.02	Professional		$165.23	$238.24	$325.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $158.75 / $174.62	Professional		$154.38	$158.75	$174.62
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 $177.73 / $305.58 / $626.15	Professional		$177.73	$305.58	$626.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.55 / $418.22 / $557.50	Professional		$320.55	$418.22	$557.50
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 $197.37 / $304.30 / $587.36	Professional		$197.37	$304.30	$587.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $372.83 / $457.94	Professional		$219.40	$372.83	$457.94