Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $206.73 / $381.79	Professional		$144.83	$206.73	$381.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $189.57 / $204.23	Professional		$182.10	$189.57	$204.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.34 / $116.87 / $335.55	Facility		$99.34	$116.87	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $197.61 / $359.02	Professional		$146.93	$197.61	$359.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.57 / $240.37 / $336.57	Professional		$198.57	$240.37	$336.57
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 $154.54 / $190.63 / $353.78	Professional		$154.54	$190.63	$353.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $176.96 / $240.37	Professional		$158.49	$176.96	$240.37