Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $224.66 / $269.33	Professional		$177.96	$224.66	$269.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.55 / $202.27 / $222.50	Professional		$173.55	$202.27	$222.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $451.23 / $453.73	Facility		$445.00	$451.23	$453.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.60 / $280.14 / $534.90	Professional		$181.60	$280.14	$534.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.25 / $346.04 / $456.18	Professional		$268.25	$346.04	$456.18
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 $181.62 / $261.99 / $487.57	Professional		$181.62	$261.99	$487.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.92 / $308.49 / $380.42	Professional		$222.92	$308.49	$380.42