Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $207.67 / $244.82	Professional		$151.24	$207.67	$244.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $158.19 / $181.92	Professional		$142.37	$158.19	$181.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $224.97 / $383.01	Professional		$144.66	$224.97	$383.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $283.32 / $482.12	Professional		$238.25	$283.32	$482.12
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 $181.14 / $238.33 / $438.62	Professional		$181.14	$238.33	$438.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $184.83 / $280.89	Professional		$167.89	$184.83	$280.89