Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $251.42 / $361.76	Professional		$174.83	$251.42	$361.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $353.76 / $353.76	Professional		$329.00	$353.76	$353.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $238.50 / $238.50	Facility		$235.00	$238.50	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $202.73 / $238.50	Professional		$202.73	$202.73	$238.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.35 / $485.37 / $605.88	Professional		$430.35	$485.37	$605.88
United Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $153.78 / $269.45	Facility		$23.36	$153.78	$269.45
United Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $208.07 / $339.35	Professional		$160.44	$208.07	$339.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.15 / $389.15 / $396.02	Professional		$389.15	$389.15	$396.02