Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $212.16 / $231.96	Professional		$183.87	$212.16	$231.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $311.17 / $354.73	Professional		$282.88	$311.17	$354.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $174.88 / $695.35	Professional		$146.49	$174.88	$695.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $339.46 / $424.32	Professional		$282.88	$339.46	$424.32
United Facility/Professional Facility Modifier Low / Median / High Price $118.81 / $118.81 / $118.81	Facility		$118.81	$118.81	$118.81
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $127.30 / $257.42	Professional		$118.81	$127.30	$257.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $224.89 / $224.89	Professional		$141.44	$224.89	$224.89