Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $398.11	Professional		$229.09	$281.84	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $338.84	Professional		$269.15	$295.12	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $630.96	Professional		$169.82	$204.17	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $489.78	Professional		$331.13	$380.19	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $251.19	Facility		$138.04	$138.04	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $269.15	Professional		$138.04	$147.91	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96