Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $457.09	Professional		$302.00	$346.74	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $380.19	Professional		$309.03	$338.84	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $251.19	Professional		$223.87	$223.87	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $645.65	Professional		$426.58	$489.78	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $323.59	Facility		$177.83	$177.83	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $346.74	Professional		$177.83	$190.55	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80