Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $226.01 / $226.01	Professional		$195.88	$226.01	$226.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $271.22 / $309.19	Professional		$241.08	$271.22	$309.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $157.94 / $157.94	Professional		$157.94	$157.94	$157.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $361.62 / $452.03	Professional		$301.35	$361.62	$452.03
United Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $126.57 / $126.57	Facility		$126.57	$126.57	$126.57
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $150.68 / $271.22	Professional		$126.57	$150.68	$271.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $150.68 / $150.68	Professional		$150.68	$150.68	$150.68