Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $230.09 / $275.82	Professional		$150.07	$230.09	$275.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $174.29 / $184.75	Professional		$125.09	$174.29	$184.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.50 / $330.00 / $339.05	Facility		$158.50	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.57 / $272.98 / $545.07	Professional		$154.57	$272.98	$545.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.86 / $341.84 / $462.08	Professional		$262.86	$341.84	$462.08
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $158.00 / $424.00	Facility		$123.00	$158.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.08 / $287.25 / $529.59	Professional		$198.08	$287.25	$529.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $304.74 / $375.51	Professional		$233.08	$304.74	$375.51