Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $246.25 / $341.01	Professional		$166.17	$246.25	$341.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $165.49 / $190.67	Professional		$153.04	$165.49	$190.67
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 $181.69 / $311.64 / $628.15	Professional		$181.69	$311.64	$628.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.70 / $449.71 / $600.69	Professional		$344.70	$449.71	$600.69
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 $217.04 / $312.82 / $601.94	Professional		$217.04	$312.82	$601.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.03 / $400.90 / $492.44	Professional		$255.03	$400.90	$492.44