Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $288.40	Professional		$190.55	$223.87	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $245.47	Professional		$199.53	$218.78	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $416.87	Professional		$275.42	$316.23	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $208.93	Facility		$114.82	$114.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $223.87	Professional		$114.82	$123.03	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04