Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $289.16 / $293.06	Professional		$257.89	$289.16	$293.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $312.60 / $425.14	Professional		$281.33	$312.60	$425.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $448.93 / $561.16	Professional		$448.93	$448.93	$561.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.75 / $488.44 / $586.13	Professional		$390.75	$488.44	$586.13
United Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $164.12 / $164.12	Facility		$164.12	$164.12	$164.12
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $175.84 / $355.57	Professional		$164.12	$175.84	$355.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $45.77 / $57.21	Professional		$44.63	$45.77	$57.21