Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $338.84	Professional		$234.42	$263.03	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $295.12	Professional		$234.42	$257.04	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $416.87	Facility		$169.82	$213.80	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $467.74	Professional		$169.82	$208.93	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $489.78	Professional		$309.03	$338.84	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $154.88 / $354.81	Facility		$134.90	$154.88	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $346.74	Professional		$144.54	$162.18	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $489.78	Professional		$125.89	$162.18	$489.78