Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.67 / $338.18 / $338.18	Professional		$333.67	$338.18	$338.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $360.73 / $411.23	Professional		$360.73	$360.73	$411.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $238.98 / $238.98	Professional		$238.98	$238.98	$238.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $541.09 / $676.37	Professional		$450.91	$541.09	$676.37
United Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $202.91 / $365.19	Professional		$189.38	$202.91	$365.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $225.46 / $225.46	Professional		$225.46	$225.46	$225.46