Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $870.96	Professional		$186.21	$346.74	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $245.47	Professional		$177.83	$194.98	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $575.44	Professional		$208.93	$338.84	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $758.58	Professional		$354.81	$457.09	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $575.44	Professional		$194.98	$323.59	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $645.65	Professional		$218.78	$416.87	$645.65