Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $416.87	Professional		$173.78	$251.19	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $204.17	Professional		$162.18	$181.97	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $338.84	Facility		$134.90	$158.49	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $457.09	Professional		$147.91	$234.42	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $446.68	Professional		$234.42	$302.00	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $371.54	Professional		$134.90	$208.93	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $371.54	Professional		$158.49	$275.42	$371.54