Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $282.87 / $353.98	Professional		$145.22	$282.87	$353.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $180.50 / $223.82	Professional		$142.44	$180.50	$223.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $451.23	Facility		$330.00	$339.05	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $306.18 / $657.29	Professional		$150.80	$306.18	$657.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $431.31 / $660.37	Professional		$332.92	$431.31	$660.37
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.92 / $377.59 / $695.19	Professional		$273.92	$377.59	$695.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $384.50 / $475.61	Professional		$145.07	$384.50	$475.61