Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $166.14 / $234.99	Professional		$49.58	$166.14	$234.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $53.01 / $67.88	Professional		$53.01	$53.01	$67.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $641.21 / $641.21	Facility		$641.21	$641.21	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $162.79 / $407.12	Professional		$49.68	$162.79	$407.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $274.86 / $464.10	Professional		$213.07	$274.86	$464.10
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.99 / $219.65 / $394.26	Professional		$144.99	$219.65	$394.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $245.03 / $301.68	Professional		$152.16	$245.03	$301.68