Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $436.52	Professional		$288.40	$338.84	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $371.54	Professional		$302.00	$331.13	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $630.96	Professional		$416.87	$478.63	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $316.23	Facility		$173.78	$173.78	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $338.84	Professional		$173.78	$186.21	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93