Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $371.54	Professional		$125.89	$151.36	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $213.80	Professional		$120.23	$173.78	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $331.13 / $338.84	Facility		$123.03	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $380.19	Professional		$134.90	$186.21	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $331.13	Professional		$190.55	$218.78	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $141.25	Facility		$36.31	$40.74	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $295.12	Professional		$112.20	$162.18	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $269.15	Professional		$120.23	$223.87	$269.15