Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $208.47 / $251.02	Professional		$156.21	$208.47	$251.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $174.99 / $201.24	Professional		$158.41	$174.99	$201.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $232.73 / $413.50	Professional		$160.50	$232.73	$413.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.82 / $297.30 / $504.30	Professional		$251.82	$297.30	$504.30
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 $187.46 / $239.94 / $487.28	Professional		$187.46	$239.94	$487.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $194.42 / $290.13	Professional		$186.22	$194.42	$290.13