Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $365.95 / $585.66	Professional		$218.53	$365.95	$585.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.52 / $196.52 / $249.58	Professional		$196.52	$196.52	$249.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.58 / $345.88 / $578.70	Professional		$210.58	$345.88	$578.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.65 / $448.19 / $759.72	Professional		$342.65	$448.19	$759.72
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $372.90 / $737.15	Professional		$276.95	$372.90	$737.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.95 / $286.60 / $453.97	Professional		$239.95	$286.60	$453.97