Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $249.32 / $396.16	Professional		$124.39	$249.32	$396.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $152.24 / $187.94	Professional		$147.21	$152.24	$187.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.31 / $218.02 / $335.55	Facility		$185.31	$218.02	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $260.27 / $470.15	Professional		$121.44	$260.27	$470.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $345.60 / $488.37	Professional		$285.49	$345.60	$488.37
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 $220.62 / $284.16 / $519.44	Professional		$220.62	$284.16	$519.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.59 / $225.19 / $345.60	Professional		$141.59	$225.19	$345.60