Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $190.42 / $348.90	Professional		$131.86	$190.42	$348.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $174.77 / $185.28	Professional		$167.96	$174.77	$185.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $86.05 / $335.55	Facility		$73.14	$86.05	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $166.62 / $327.22	Professional		$129.72	$166.62	$327.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $186.97 / $261.00	Professional		$154.44	$186.97	$261.00
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 $117.79 / $148.37 / $311.83	Professional		$117.79	$148.37	$311.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $164.36 / $186.97	Professional		$123.19	$164.36	$186.97