Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $223.58 / $582.14	Professional		$151.97	$223.58	$582.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $139.24 / $186.18	Professional		$137.08	$139.24	$186.18
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 $158.72 / $266.87 / $522.29	Professional		$158.72	$266.87	$522.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $351.80 / $468.96	Professional		$272.70	$351.80	$468.96
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $128.00	Facility		$36.00	$41.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.45 / $258.31 / $490.39	Professional		$183.45	$258.31	$490.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $313.62 / $385.22	Professional		$215.51	$313.62	$385.22