Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $275.42	Professional		$151.36	$190.55	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $223.87	Professional		$165.96	$186.21	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $407.38	Professional		$151.36	$204.17	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $302.00	Professional		$144.54	$162.18	$302.00
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 $144.54 / $190.55 / $354.81	Professional		$144.54	$190.55	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $239.88	Professional		$141.25	$169.82	$239.88