Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $281.44 / $307.70	Professional		$243.91	$281.44	$307.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $300.20 / $342.23	Professional		$300.20	$300.20	$342.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.45 / $231.83 / $922.31	Professional		$194.45	$231.83	$922.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $450.30 / $562.88	Professional		$375.25	$450.30	$562.88
United Facility/Professional Facility Modifier Low / Median / High Price $157.61 / $157.61 / $157.61	Facility		$157.61	$157.61	$157.61
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $168.86 / $337.73	Professional		$157.61	$168.86	$337.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $187.63 / $187.63	Professional		$187.63	$187.63	$187.63