Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $309.03	Professional		$186.21	$204.17	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $229.09	Professional		$181.97	$204.17	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $446.68	Professional		$138.04	$165.96	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $380.19	Professional		$257.04	$309.03	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $194.98	Facility		$107.15	$107.15	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $208.93	Professional		$102.33	$114.82	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82