Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $676.08	Professional		$194.98	$257.04	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $645.65	Professional		$245.47	$275.42	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $588.84	Professional		$229.09	$323.59	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $426.58	Professional		$229.09	$257.04	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $501.19	Professional		$204.17	$288.40	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $338.84	Professional		$229.09	$288.40	$338.84