Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $257.91 / $535.77	Professional		$235.31	$257.91	$535.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $244.61 / $275.63 / $303.19	Professional		$244.61	$275.63	$303.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $668.69	Facility		$330.00	$339.05	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $378.64 / $767.06	Professional		$238.58	$378.64	$767.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.35 / $341.01 / $442.85	Professional		$264.35	$341.01	$442.85
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.26 / $398.38 / $701.86	Professional		$221.26	$398.38	$701.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.35 / $304.00 / $380.09	Professional		$264.35	$304.00	$380.09