Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $228.81 / $329.72	Professional		$165.18	$228.81	$329.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $194.50 / $262.58	Professional		$177.25	$194.50	$262.58
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 $179.26 / $274.89 / $493.15	Professional		$179.26	$274.89	$493.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.69 / $312.77 / $455.27	Professional		$231.69	$312.77	$455.27
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.03 / $293.87 / $515.70	Professional		$210.03	$293.87	$515.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $310.20 / $382.82	Professional		$199.92	$310.20	$382.82