Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $255.46 / $310.25	Professional		$188.16	$255.46	$310.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $252.09 / $264.69	Professional		$176.15	$252.09	$264.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.53 / $122.98 / $335.55	Facility		$104.53	$122.98	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.79 / $243.45 / $434.39	Professional		$189.79	$243.45	$434.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.33 / $292.13 / $404.22	Professional		$241.33	$292.13	$404.22
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.18 / $231.39 / $430.50	Professional		$178.18	$231.39	$430.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $238.25 / $292.13	Professional		$191.53	$238.25	$292.13