Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $524.81	Professional		$151.36	$251.19	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $186.21	Professional		$134.90	$151.36	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $588.84	Professional		$158.49	$288.40	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $602.56	Professional		$338.84	$407.38	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $158.49	Facility		$36.31	$40.74	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $489.78	Professional		$147.91	$257.04	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $501.19	Professional		$239.88	$407.38	$501.19