Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $933.25	Professional		$229.09	$407.38	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $331.13	Professional		$257.04	$288.40	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $707.95	Professional		$263.03	$407.38	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $870.96	Professional		$380.19	$501.19	$870.96
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 $257.04 / $380.19 / $691.83	Professional		$257.04	$380.19	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $691.83	Professional		$257.04	$446.68	$691.83