Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.19 / $247.83 / $670.37	Professional		$227.19	$247.83	$670.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $276.39 / $430.00	Professional		$270.64	$276.39	$430.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $339.05	Facility		$330.00	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.52 / $333.48 / $631.61	Professional		$227.52	$333.48	$631.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.14 / $329.07 / $438.50	Professional		$252.14	$329.07	$438.50
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $284.87 / $550.57	Professional		$202.33	$284.87	$550.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.14 / $293.35 / $360.20	Professional		$250.14	$293.35	$360.20