Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $246.71 / $311.76	Professional		$152.27	$246.71	$311.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $146.85 / $170.07	Professional		$144.71	$146.85	$170.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $79.98	Facility		$50.00	$50.00	$79.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $293.88 / $585.66	Professional		$163.22	$293.88	$585.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.50 / $411.59 / $550.35	Professional		$315.50	$411.59	$550.35
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 $209.77 / $330.23 / $629.49	Professional		$209.77	$330.23	$629.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $366.92 / $450.72	Professional		$239.04	$366.92	$450.72