Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $562.34	Professional		$125.89	$199.53	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $194.98	Professional		$151.36	$165.96	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $380.19	Professional		$134.90	$218.78	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $478.63	Professional		$204.17	$269.15	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Facility		$371.54	$371.54	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $380.19	Professional		$125.89	$204.17	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $380.19	Professional		$144.54	$239.88	$380.19