Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $524.81	Professional		$165.96	$194.98	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $257.04	Professional		$190.55	$208.93	$257.04
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 $173.78 / $239.88 / $426.58	Professional		$173.78	$239.88	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $346.74	Professional		$173.78	$194.98	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $186.21	Facility		$36.31	$40.74	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $398.11	Professional		$154.88	$223.87	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $263.03	Professional		$181.97	$208.93	$263.03