Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.48 / $334.49 / $391.56	Professional		$254.48	$334.49	$391.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.22 / $246.59 / $313.17	Professional		$223.22	$246.59	$313.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $325.75 / $588.33	Professional		$226.80	$325.75	$588.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.34 / $480.81 / $872.36	Professional		$388.34	$480.81	$872.36
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 $260.38 / $355.77 / $701.17	Professional		$260.38	$355.77	$701.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $278.70 / $450.79	Professional		$263.00	$278.70	$450.79