Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $549.54	Professional		$190.55	$316.23	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $295.12	Professional		$186.21	$204.17	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $602.56	Facility		$234.42	$275.42	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $575.44	Professional		$186.21	$316.23	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $588.84	Professional		$281.84	$436.52	$588.84
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 $169.82 / $288.40 / $549.54	Professional		$169.82	$288.40	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $467.74 / $575.44	Professional		$245.47	$467.74	$575.44