Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $794.33	Professional		$199.53	$245.47	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $338.84	Professional		$177.83	$275.42	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $123.03	Facility		$50.12	$50.12	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $549.54	Professional		$199.53	$281.84	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $478.63	Professional		$275.42	$316.23	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $208.93	Facility		$36.31	$40.74	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $457.09	Professional		$173.78	$251.19	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $398.11	Professional		$199.53	$323.59	$398.11