Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $331.13	Professional		$190.55	$234.42	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $281.84	Professional		$223.87	$245.47	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $676.08	Professional		$151.36	$181.97	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $416.87	Professional		$275.42	$316.23	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $208.93	Facility		$114.82	$114.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $223.87	Professional		$114.82	$123.03	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $218.78	Professional		$138.04	$218.78	$218.78