Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $382.88 / $484.21	Professional		$224.03	$382.88	$484.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $252.57 / $282.49	Professional		$246.56	$252.57	$282.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $451.23	Facility		$330.00	$339.05	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $419.47 / $903.49	Professional		$228.69	$419.47	$903.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.24 / $575.89 / $883.37	Professional		$445.24	$575.89	$883.37
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.15 / $480.81 / $854.26	Professional		$339.15	$480.81	$854.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.67 / $513.39 / $636.05	Professional		$379.67	$513.39	$636.05