Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $416.87	Professional		$186.21	$213.80	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $257.04	Professional		$194.98	$218.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $478.63	Professional		$190.55	$263.03	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $331.13	Professional		$154.88	$229.09	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $154.88 / $331.13	Facility		$151.36	$154.88	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $436.52	Professional		$169.82	$245.47	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $331.13	Professional		$181.97	$229.09	$331.13