Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $302.00 / $389.05	Professional		$114.82	$302.00	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $323.59 / $363.08	Professional		$295.12	$323.59	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
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 $69.18 / $169.82 / $309.03	Facility		$69.18	$169.82	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $165.96	Professional		$69.18	$74.13	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17