Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $398.11	Professional		$213.80	$251.19	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $263.03	Professional		$213.80	$234.42	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $524.81	Professional		$154.88	$181.97	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $446.68	Professional		$295.12	$338.84	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $223.87	Facility		$123.03	$123.03	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $239.88	Professional		$123.03	$131.83	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $234.42	Professional		$147.91	$234.42	$234.42