Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.69 / $311.73 / $393.93	Professional		$237.69	$311.73	$393.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $291.33 / $316.32	Professional		$276.45	$291.33	$316.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.56 / $168.89 / $335.55	Facility		$143.56	$168.89	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $307.74 / $549.72	Professional		$224.12	$307.74	$549.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.02 / $360.78 / $470.58	Professional		$298.02	$360.78	$470.58
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $294.00	Facility		$294.00	$294.00	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.54 / $292.12 / $613.95	Professional		$242.54	$292.12	$613.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.97 / $269.04 / $360.78	Professional		$242.97	$269.04	$360.78