Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $323.59	Professional		$173.78	$218.78	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $194.98 / $275.42	Professional		$53.70	$194.98	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $575.44	Professional		$181.97	$309.03	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $338.84	Professional		$173.78	$208.93	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $416.87	Professional		$177.83	$275.42	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $295.12	Professional		$190.55	$208.93	$295.12