Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.57 / $301.58 / $356.59	Professional		$297.57	$301.58	$356.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.10 / $442.33 / $561.76	Professional		$398.10	$442.33	$561.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.33 / $309.18 / $988.30	Professional		$220.33	$309.18	$988.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $482.54 / $767.24	Professional		$402.12	$482.54	$767.24
United Facility/Professional Facility Modifier Low / Median / High Price $168.89 / $168.89 / $168.89	Facility		$168.89	$168.89	$168.89
United Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $230.41 / $365.92	Professional		$180.95	$230.41	$365.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $394.68 / $394.68	Professional		$201.06	$394.68	$394.68