Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $562.34	Professional		$141.25	$302.00	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $190.55	Professional		$134.90	$151.36	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $245.47	Facility		$169.82	$169.82	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $588.84	Professional		$158.49	$309.03	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $524.81	Professional		$194.98	$389.05	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $229.09 / $537.03	Facility		$112.20	$229.09	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $575.44	Professional		$147.91	$295.12	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $407.38 / $524.81	Professional		$144.54	$407.38	$524.81