Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $227.92 / $252.56	Professional		$184.80	$227.92	$252.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $246.40 / $280.89	Professional		$246.40	$246.40	$280.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.61 / $191.52 / $757.32	Professional		$162.61	$191.52	$757.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $369.60 / $462.00	Professional		$308.00	$369.60	$462.00
United Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $129.36 / $129.36	Facility		$129.36	$129.36	$129.36
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $141.68 / $280.27	Professional		$129.36	$141.68	$280.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $244.86 / $244.86	Professional		$154.00	$244.86	$244.86