Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $211.23 / $278.25	Professional		$145.04	$211.23	$278.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $168.13 / $188.31	Professional		$138.97	$168.13	$188.31
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 $146.18 / $264.43 / $498.98	Professional		$146.18	$264.43	$498.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.85 / $317.14 / $422.46	Professional		$245.85	$317.14	$422.46
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 $204.03 / $296.48 / $514.23	Professional		$204.03	$296.48	$514.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.85 / $282.73 / $350.94	Professional		$245.85	$282.73	$350.94