Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $201.64 / $327.58	Professional		$141.38	$201.64	$327.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.60 / $215.26	Professional		$131.83	$147.60	$215.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $668.69	Facility		$330.00	$339.05	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $287.26 / $592.69	Professional		$164.82	$287.26	$592.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.22 / $405.34 / $543.30	Professional		$314.22	$405.34	$543.30
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $289.08 / $571.88	Professional		$195.31	$289.08	$571.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $361.35 / $443.96	Professional		$140.21	$361.35	$443.96