Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.59 / $208.90 / $235.55	Professional		$175.59	$208.90	$235.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $227.07 / $273.10	Professional		$227.07	$227.07	$273.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $274.87 / $534.62	Professional		$189.70	$274.87	$534.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $285.85 / $360.35	Professional		$213.96	$285.85	$360.35
United Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $471.00	Facility		$173.00	$173.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.79 / $238.54 / $441.50	Professional		$156.79	$238.54	$441.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $254.83 / $304.14	Professional		$195.00	$254.83	$304.14