Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $196.61 / $210.17	Professional		$168.94	$196.61	$210.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $207.78 / $263.88	Professional		$187.00	$207.78	$263.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $620.64	Facility		$330.00	$339.05	$620.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $243.16 / $470.92	Professional		$171.94	$243.16	$470.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.49 / $270.24 / $359.62	Professional		$209.49	$270.24	$359.62
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $203.98 / $368.57	Professional		$145.88	$203.98	$368.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $240.91 / $297.27	Professional		$163.81	$240.91	$297.27