Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $186.80 / $234.95	Professional		$163.06	$186.80	$234.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $224.26 / $510.00	Professional		$224.26	$224.26	$510.00
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 $175.29 / $253.90 / $489.20	Professional		$175.29	$253.90	$489.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.92 / $259.66 / $349.56	Professional		$195.92	$259.66	$349.56
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 $152.34 / $218.69 / $418.27	Professional		$152.34	$218.69	$418.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.19 / $231.48 / $279.77	Professional		$187.19	$231.48	$279.77