Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $2,089.30	Professional		$199.53	$338.84	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $288.40	Professional		$213.80	$239.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $562.34	Professional		$204.17	$295.12	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $436.52	Professional		$213.80	$239.88	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $457.09	Professional		$186.21	$263.03	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $316.23	Professional		$204.17	$269.15	$316.23