Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $196.21 / $287.04	Professional		$121.34	$196.21	$287.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $158.01 / $167.06	Professional		$147.19	$158.01	$167.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $144.81 / $335.55	Facility		$123.09	$144.81	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $198.23 / $358.86	Professional		$120.11	$198.23	$358.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.37 / $254.66 / $359.15	Professional		$210.37	$254.66	$359.15
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.51 / $207.31 / $431.09	Professional		$166.51	$207.31	$431.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $170.69 / $254.66	Professional		$141.94	$170.69	$254.66