Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $211.18 / $345.58	Professional		$158.19	$211.18	$345.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $192.61 / $202.24	Professional		$186.00	$192.61	$202.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $158.93 / $335.55	Facility		$135.09	$158.93	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.85 / $233.81 / $413.11	Professional		$148.85	$233.81	$413.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.79 / $303.58 / $406.37	Professional		$250.79	$303.58	$406.37
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $128.00	Facility		$89.00	$89.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $243.25 / $447.16	Professional		$183.54	$243.25	$447.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $186.98 / $303.58	Professional		$177.67	$186.98	$303.58