Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $217.83 / $251.43	Professional		$195.53	$217.83	$251.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $236.12 / $266.82	Professional		$236.12	$236.12	$266.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $228.95 / $392.57	Professional		$189.11	$228.95	$392.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $276.75 / $503.18	Professional		$228.69	$276.75	$503.18
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $211.15 / $391.29	Professional		$157.78	$211.15	$391.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.47 / $251.59 / $262.99	Professional		$167.47	$251.59	$262.99