Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $257.01 / $407.70	Professional		$191.16	$257.01	$407.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $228.03 / $231.09 / $309.05	Professional		$228.03	$231.09	$309.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.95 / $219.94 / $513.90	Facility		$186.95	$219.94	$513.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.39 / $295.54 / $510.81	Professional		$184.39	$295.54	$510.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.98 / $359.50 / $509.36	Professional		$296.98	$359.50	$509.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.81 / $303.57 / $538.79	Professional		$252.81	$303.57	$538.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.01 / $230.97 / $359.50	Professional		$216.01	$230.97	$359.50