Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $191.06 / $312.12	Professional		$131.35	$191.06	$312.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $135.11 / $195.02	Professional		$126.81	$135.11	$195.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.87 / $139.87 / $330.00	Facility		$139.87	$139.87	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $228.40 / $465.31	Professional		$139.44	$228.40	$465.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.39 / $301.07 / $401.50	Professional		$233.39	$301.07	$401.50
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 $157.85 / $230.70 / $423.89	Professional		$157.85	$230.70	$423.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $268.39 / $330.23	Professional		$181.83	$268.39	$330.23