Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $297.08 / $761.64	Professional		$135.80	$297.08	$761.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $157.03 / $194.72	Professional		$125.99	$157.03	$194.72
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 $133.94 / $292.39 / $608.21	Professional		$133.94	$292.39	$608.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.64 / $409.77 / $587.54	Professional		$317.64	$409.77	$587.54
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 $241.79 / $368.27 / $636.92	Professional		$241.79	$368.27	$636.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $365.30 / $452.15	Professional		$127.10	$365.30	$452.15