Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $602.56	Professional		$190.55	$309.03	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $371.54	Professional		$275.42	$302.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $933.25	Professional		$91.20	$251.19	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $575.44	Professional		$380.19	$436.52	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $288.40	Facility		$158.49	$158.49	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $169.82 / $251.19	Professional		$63.10	$169.82	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $302.00	Professional		$190.55	$302.00	$302.00