Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $812.83	Professional		$194.98	$295.12	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $309.03	Professional		$239.88	$263.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $602.56	Professional		$223.87	$316.23	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $870.96	Professional		$363.08	$478.63	$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 $204.17 / $316.23 / $588.84	Professional		$204.17	$316.23	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $660.69	Professional		$245.47	$426.58	$660.69