Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $179.88 / $232.46	Professional		$146.78	$179.88	$232.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $183.81 / $202.19	Professional		$119.94	$183.81	$202.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $445.00 / $453.73	Facility		$257.77	$445.00	$453.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $239.09 / $468.73	Professional		$158.88	$239.09	$468.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.56 / $300.00 / $401.89	Professional		$232.56	$300.00	$401.89
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $201.42 / $414.07	Professional		$144.33	$201.42	$414.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $267.44 / $328.92	Professional		$132.86	$267.44	$328.92