Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $216.70 / $278.97	Professional		$128.18	$216.70	$278.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $126.61 / $139.27	Professional		$123.98	$126.61	$139.27
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 $140.46 / $260.45 / $512.11	Professional		$140.46	$260.45	$512.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.85 / $369.13 / $494.26	Professional		$282.85	$369.13	$494.26
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 $157.02 / $243.13 / $488.46	Professional		$157.02	$243.13	$488.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.92 / $329.07 / $404.07	Professional		$219.92	$329.07	$404.07