Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.73 / $464.24 / $606.91	Professional		$381.73	$464.24	$606.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $424.19 / $487.29 / $667.59	Professional		$424.19	$487.29	$667.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $130.90 / $466.67	Facility		$50.00	$130.90	$466.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $491.41 / $880.25	Professional		$358.33	$491.41	$880.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.81 / $516.64 / $690.75	Professional		$387.81	$516.64	$690.75
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.22 / $450.88 / $770.42	Professional		$320.22	$450.88	$770.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.22 / $495.11 / $612.33	Professional		$328.22	$495.11	$612.33