Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $426.58	Professional		$134.90	$251.19	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $181.97	Professional		$128.82	$144.54	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $218.78 / $338.84	Facility		$186.21	$218.78	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $512.86	Professional		$120.23	$251.19	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $512.86	Professional		$269.15	$346.74	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $407.38	Professional		$112.20	$234.42	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $316.23 / $426.58	Professional		$125.89	$316.23	$426.58