Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $253.06 / $602.33	Professional		$183.03	$253.06	$602.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.27 / $202.69 / $273.63	Professional		$185.27	$202.69	$273.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.89 / $298.14 / $483.71	Facility		$255.89	$298.14	$483.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $271.08 / $498.65	Professional		$185.35	$271.08	$498.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $310.61 / $442.84	Professional		$236.17	$310.61	$442.84
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $108.00 / $598.00	Facility		$71.00	$108.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $278.20 / $542.48	Professional		$204.92	$278.20	$542.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $303.32 / $374.36	Professional		$196.29	$303.32	$374.36