Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $851.14	Professional		$269.15	$323.59	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $354.81	Professional		$263.03	$288.40	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $676.08	Professional		$251.19	$354.81	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $537.03	Professional		$257.04	$295.12	$537.03
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 $245.47 / $331.13 / $588.84	Professional		$245.47	$331.13	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $407.38	Professional		$263.03	$309.03	$407.38