Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $416.87	Professional		$147.91	$173.78	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $234.42	Professional		$165.96	$186.21	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $380.19	Professional		$158.49	$218.78	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $302.00	Professional		$154.88	$173.78	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $165.96	Facility		$36.31	$40.74	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $354.81	Professional		$138.04	$199.53	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $234.42	Professional		$162.18	$186.21	$234.42