Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $234.42	Professional		$158.49	$181.97	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $338.84	Facility		$204.17	$204.17	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $275.42	Professional		$173.78	$173.78	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $346.74	Professional		$208.93	$281.84	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $131.83 / $234.42	Facility		$15.49	$131.83	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $331.13	Professional		$158.49	$218.78	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47