Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $398.11	Professional		$263.03	$309.03	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $338.84	Professional		$275.42	$302.00	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $575.44	Professional		$380.19	$436.52	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $288.40	Facility		$158.49	$158.49	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $309.03	Professional		$158.49	$169.82	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55