Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $467.74	Professional		$147.91	$234.42	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $218.78	Professional		$162.18	$177.83	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $331.13 / $338.84	Facility		$154.88	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $524.81	Professional		$162.18	$263.03	$524.81
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 $112.20 / $141.25 / $245.47	Facility		$112.20	$141.25	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $436.52	Professional		$144.54	$239.88	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $407.38	Professional		$229.09	$316.23	$407.38