Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $280.87 / $439.60	Professional		$159.62	$280.87	$439.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.69 / $193.92 / $234.20	Professional		$185.69	$193.92	$234.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.68 / $230.22 / $722.49	Facility		$195.68	$230.22	$722.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $292.47 / $534.13	Professional		$153.38	$292.47	$534.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.41 / $385.45 / $532.97	Professional		$318.41	$385.45	$532.97
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $294.00	Facility		$294.00	$294.00	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.07 / $335.87 / $618.15	Professional		$254.07	$335.87	$618.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $254.18 / $385.45	Professional		$178.33	$254.18	$385.45