Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $223.03 / $269.37	Professional		$154.11	$223.03	$269.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $181.86 / $202.23	Professional		$176.12	$181.86	$202.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $330.00 / $339.05	Facility		$153.91	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $273.69 / $538.36	Professional		$162.79	$273.69	$538.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $339.22 / $452.32	Professional		$262.95	$339.22	$452.32
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 $197.35 / $283.69 / $521.76	Professional		$197.35	$283.69	$521.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.44 / $302.39 / $373.03	Professional		$227.44	$302.39	$373.03