Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $269.15	Professional		$162.18	$186.21	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $117.49	Professional		$87.10	$97.72	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $549.54	Professional		$173.78	$281.84	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $416.87	Professional		$204.17	$234.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $436.52	Professional		$162.18	$275.42	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47