Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $231.56 / $535.54	Professional		$148.19	$231.56	$535.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $156.50 / $179.97	Professional		$140.85	$156.50	$179.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.49 / $217.03 / $381.71	Professional		$140.49	$217.03	$381.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $271.17 / $476.83	Professional		$233.60	$271.17	$476.83
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.58 / $230.07 / $457.60	Professional		$173.58	$230.07	$457.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $183.64 / $274.13	Professional		$164.99	$183.64	$274.13