Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $512.86	Professional		$144.54	$194.98	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $229.09	Professional		$120.23	$181.97	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $446.68 / $457.09	Facility		$257.04	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $478.63	Professional		$154.88	$223.87	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $416.87	Professional		$245.47	$288.40	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $154.88	Facility		$36.31	$40.74	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $371.54	Professional		$134.90	$199.53	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $363.08	Professional		$131.83	$302.00	$363.08