Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $602.56	Professional		$144.54	$208.93	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $213.80	Professional		$165.96	$186.21	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $416.87	Professional		$158.49	$229.09	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $501.19	Professional		$218.78	$281.84	$501.19
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 $151.36 / $218.78 / $398.11	Professional		$151.36	$218.78	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $389.05	Professional		$151.36	$251.19	$389.05