Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $512.86	Professional		$181.97	$288.40	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $281.84	Professional		$177.83	$194.98	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $436.52	Facility		$229.09	$269.15	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $512.86	Professional		$173.78	$281.84	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $489.78	Professional		$239.88	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $489.78	Professional		$154.88	$257.04	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $501.19	Professional		$204.17	$389.05	$501.19