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 $269.15 / $302.00 / $338.84	Professional		$269.15	$302.00	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $562.34	Professional		$371.54	$436.52	$562.34
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 / $302.00	Professional		$158.49	$169.82	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21