Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $275.42	Professional		$141.25	$190.55	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Facility		$239.88	$239.88	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $204.17 / $239.88	Professional		$28.84	$204.17	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $478.63	Professional		$295.12	$354.81	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $95.50 / $190.55	Facility		$12.59	$95.50	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $331.13	Professional		$131.83	$199.53	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $281.84	Professional		$234.42	$234.42	$281.84