Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $398.11	Professional		$223.87	$275.42	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $302.00	Professional		$223.87	$251.19	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $588.84	Professional		$218.78	$295.12	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $467.74	Professional		$223.87	$251.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $512.86	Professional		$204.17	$275.42	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $346.74	Professional		$229.09	$263.03	$346.74