Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $185.19 / $185.19	Professional		$162.97	$185.19	$185.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $197.54 / $268.64	Professional		$177.78	$197.54	$268.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.87 / $172.54 / $319.52	Facility		$130.87	$172.54	$319.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $283.73 / $354.66	Professional		$130.87	$283.73	$354.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $283.95 / $370.38	Professional		$246.92	$283.95	$370.38
United Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Facility		$103.71	$103.71	$103.71
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $111.11 / $187.66	Professional		$103.71	$111.11	$187.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $31.92 / $32.33	Professional		$25.21	$31.92	$32.33