Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.36 / $349.49 / $462.02	Professional		$258.36	$349.49	$462.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $232.45 / $535.37	Professional		$232.18	$232.45	$535.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $158.93 / $449.41	Facility		$135.09	$158.93	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $435.48 / $781.19	Professional		$207.29	$435.48	$781.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $316.66 / $445.31	Professional		$261.58	$316.66	$445.31
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.56 / $493.33 / $917.99	Professional		$387.56	$493.33	$917.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $275.36 / $316.66	Professional		$231.42	$275.36	$316.66