Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $288.40	Professional		$190.55	$218.78	$288.40
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 Facility Modifier Low / Median / High Price $245.47 / $245.47 / $416.87	Facility		$245.47	$245.47	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $323.59	Professional		$208.93	$208.93	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $426.58	Professional		$229.09	$316.23	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $141.25 / $257.04	Facility		$16.60	$141.25	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $363.08	Professional		$181.97	$234.42	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $295.12 / $295.12	Professional		$269.15	$295.12	$295.12