Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $295.12	Professional		$190.55	$229.09	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $426.58	Facility		$263.03	$263.03	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $316.23	Professional		$223.87	$223.87	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $436.52	Professional		$281.84	$380.19	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $162.18 / $288.40	Facility		$18.62	$162.18	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $398.11	Professional		$199.53	$263.03	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $309.03	Professional		$295.12	$295.12	$309.03