Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $316.23	Professional		$181.97	$239.88	$316.23
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 $208.93 / $208.93 / $446.68	Facility		$208.93	$208.93	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Professional		$177.83	$177.83	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $537.03	Professional		$331.13	$416.87	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $123.03 / $234.42	Facility		$14.45	$123.03	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $354.81	Professional		$158.49	$223.87	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $363.08	Professional		$288.40	$288.40	$363.08