Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $512.86	Professional		$173.78	$208.93	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $275.42	Professional		$204.17	$229.09	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $457.09	Professional		$181.97	$251.19	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $363.08	Professional		$194.98	$223.87	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $199.53 / $660.69	Facility		$158.49	$199.53	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $426.58	Professional		$162.18	$239.88	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $302.00	Professional		$194.98	$234.42	$302.00