Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $346.74	Professional		$213.80	$288.40	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $616.60	Professional		$380.19	$457.09	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $181.97 / $331.13	Facility		$21.88	$181.97	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $524.81	Professional		$239.88	$338.84	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87