Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $512.86	Professional		$173.78	$288.40	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $229.09	Professional		$162.18	$181.97	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $724.44	Facility		$194.98	$229.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $575.44	Professional		$151.36	$295.12	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $575.44	Professional		$302.00	$380.19	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $446.68	Professional		$138.04	$269.15	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $354.81 / $478.63	Professional		$154.88	$354.81	$478.63