Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $201.46 / $419.62	Professional		$132.13	$201.46	$419.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $121.11 / $138.54	Professional		$119.29	$121.11	$138.54
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 $139.53 / $240.06 / $461.88	Professional		$139.53	$240.06	$461.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.21 / $318.72 / $425.10	Professional		$244.21	$318.72	$425.10
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 $139.29 / $211.73 / $425.68	Professional		$139.29	$211.73	$425.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $284.13 / $348.87	Professional		$190.13	$284.13	$348.87