Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $588.84	Professional		$165.96	$302.00	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $257.04	Professional		$181.97	$204.17	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $660.69	Professional		$186.21	$331.13	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $691.83	Professional		$338.84	$389.05	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $524.81 / $741.31	Facility		$169.82	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $588.84	Professional		$165.96	$316.23	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $524.81	Professional		$338.84	$398.11	$524.81