Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $549.54	Professional		$181.97	$208.93	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $416.87	Professional		$251.19	$269.15	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $446.68	Professional		$194.98	$269.15	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $354.81	Professional		$173.78	$229.09	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $436.52	Professional		$190.55	$263.03	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $316.23	Professional		$239.88	$239.88	$316.23