Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $316.23	Professional		$125.89	$275.42	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $512.86	Professional		$239.88	$354.81	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $338.84 / $338.84	Facility		$169.82	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $562.34	Professional		$154.88	$234.42	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96