Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $266.79 / $386.37	Professional		$185.76	$266.79	$386.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $195.33 / $299.17	Professional		$127.18	$195.33	$299.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $267.73 / $437.00	Facility		$229.79	$267.73	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $299.81 / $571.74	Professional		$178.80	$299.81	$571.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $371.24 / $579.04	Professional		$242.28	$371.24	$579.04
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $311.83 / $576.96	Professional		$205.76	$311.83	$576.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.09 / $362.10 / $446.53	Professional		$202.09	$362.10	$446.53