Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $389.05	Professional		$190.55	$218.78	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $251.19	Professional		$186.21	$204.17	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $489.78	Professional		$181.97	$275.42	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $363.08	Professional		$177.83	$204.17	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $389.05	Professional		$173.78	$251.19	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $263.03	Professional		$186.21	$229.09	$263.03