Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $302.00	Professional		$199.53	$229.09	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $257.04	Professional		$204.17	$223.87	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $426.58	Professional		$281.84	$323.59	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $213.80	Facility		$117.49	$117.49	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $229.09	Professional		$117.49	$125.89	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25