Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $398.11	Professional		$302.00	$338.84	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $416.87	Professional		$331.13	$371.54	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $269.15	Professional		$218.78	$218.78	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $616.60	Professional		$407.38	$467.74	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $309.03	Facility		$173.78	$173.78	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $363.08	Professional		$173.78	$204.17	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17