Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $269.15	Professional		$147.91	$194.98	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $263.03	Professional		$169.82	$186.21	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $302.00	Professional		$158.49	$208.93	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $398.11	Professional		$165.96	$223.87	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $288.40	Professional		$199.53	$251.19	$288.40